Active NPI
Melissa Erin Herr, LPCC
- Mental Health Counselor
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2001767
- Practice address
- 5060 Bradenton Ave Ste D
Dublin, OH 43017-3511 - Phone
- (614) 475-9500
- Fax
- (614) 475-9821
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2001767 | OH | Primary |
Addresses
Primary practice location
5060 Bradenton Ave Ste D
Dublin, OH 43017-3511
Mailing address
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Phone (614) 475-9500
Other practice location 1
110 Northwoods Blvd Ste B1
Columbus, OH 43235-4731
Phone (614) 475-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E.2001767 | Other | OH | OHIO COUNSELOR, SOCIAL WORKER AND MFT BOARD |
Other names 1
- Melissa Erin Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2001767 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Integrated Psychological Services | Single Specialty | Current | Accepting new patients |
Locations
2 Easton Oval
Ste 450
Columbus, OH 43219
Phone (614) 475-9500
110 Northwoods Blvd
Ste B1
Columbus, OH 43235
Phone (614) 475-9500
5060 Bradenton Ave
Ste D
Dublin, OH 43017
Phone (614) 475-9500
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1366068751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EASTON OVAL STE 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196035",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 BRADENTON AVE STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173511",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
}
],
"practiceLocations": [
{
"address_1": "110 Northwoods Blvd Ste B1",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432354731",
"country_code": "US",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERR",
"first_name": "MELISSA",
"middle_name": "ERIN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2001767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO COUNSELOR, SOCIAL WORKER AND MFT BOARD",
"identifier": "E.2001767",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "JOHNSON",
"middle_name": "ERIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.