Melinda Elaine Johnson, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T2227 Issued in OR

Practice address

131 NW Hawthorne Avenue
Ste 103
Bend, OR 97703-2957

Phone

(541) 697-4863

Fax

(541) 229-1249

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autumn Therapeutics

  • Mental Health Counselor
  • Bend, OR
  • NPI 1811680838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1104514496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61540 SE COLIMA ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023873",
            "telephone_number": "478-719-0112",
            "fax_number": "541-229-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW HAWTHORNE AVENUE",
            "address_2": "STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032957",
            "telephone_number": "541-697-4863",
            "fax_number": "541-229-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELINDA",
        "middle_name": "ELAINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Anne Johnson, RN
• Kylie R. Johnson, CRM
• Lindsey James Johnson, LCSW
• Linsey Sharianne Johnson, LD, RDN
• Lisa Johnson
• Melissa Anne Johnson, APRN
• Michael Jason Johnson
• Molly Ann Johnson, PT
• Olivia Johnson
• Paul Jennings Johnson, MD

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.