Melissa Marie Johnson, MA, LPC, NCC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00707200 Issued in NJ

Practice address

9 Vose Avenue
South Orange, NJ 07079

Phone

(973) 901-9428

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Winner & Associates, LLC

  • Mental Health Counselor
  • South Orange, NJ
  • NPI 1578927851
  NPD (past) Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1255946216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VOSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792019",
            "telephone_number": "973-901-9428",
            "fax_number": "973-901-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VOSE AVENUE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-901-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, LPC, NCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00707200",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00707200",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00707200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578927851",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jespy House Inc.
• Jespy House Inc.
• Jespy House Inc.
• Jewish Community Housing Corporation of Metropolitan New Jersey (JCHC Alp)
• Kevin Darnell Johnson, DDS
• Natashia Johnson
• Rashaneegon Johnson, LPC
• Jasmine Joseph, PA-C
• Kellianne Josephsen, DPT
• Jeffrey Neil Kaplan, D.P.M.

• Professional Counselor in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.