Melanie Ann Johnson, LPC, LMFT, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2003 Issued in OK

Practice address

4972 N.W. 30TH Place
Okc, OK 73122

Phone

(405) 850-9255

NPI assigned

Apr 6, 2010

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1154646834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 N.W. 30TH PLACE",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73122",
            "telephone_number": "405-850-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 N.W. 30TH PLACE",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73122",
            "telephone_number": "405-850-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "661",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2003",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Vineyard Harris-Silk, MSCCC-SP
• Geneva Christine Whitney Hirshburg, M.D.
• Karin Lynne Holsted
• Samuel Huang, PHD
• Bindhu James, NP
• Jagjit Khosla, MD
• Katrina Renee Klohn, MA, LPC
• Nana Yaa Afrakomah Koomson
• Maria Susan Kunkel, LCSW
• Leesa Lacey

• Mental Health Counselor in Okc, OK
• Providers in Okc, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.