Organization Active NPI

Melinda Johnson LLC

  • Clinical Social Worker
  • Jensen Beach, FL
National Provider Identifier
1053226274
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELINDA JOHNSON LLC
Practice address
3472 NE Savannah Rd Ste 111
Jensen Beach, FL 34957-3758
Phone
(772) 214-3864
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Johnson, LCSWNPI 1558904318
Title
Owner
Phone
(571) 332-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3472 NE Savannah Rd Ste 111
Jensen Beach, FL 34957-3758

Mailing address

2732 NW Crystal Lake Dr
Jensen Beach, FL 34957-4461
Phone (571) 332-5003

National Provider Directory

National Provider Directory

Locations

3472 NE Savannah Rd
Ste 111
Jensen Beach, FL 34957

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1053226274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 NW CRYSTAL LAKE DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574461",
            "telephone_number": "571-332-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 NE SAVANNAH RD STE 111",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573758",
            "telephone_number": "772-214-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-332-5003",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.