Melanie Johnson, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004095A Issued in IN

Legal business name

MELANIE JOHNSON, LCSW, LLC

Practice address

522 Belvedere Dr
Kokomo, IN 46901-5627

Phone

(765) 453-4527

Fax

(317) 863-2602

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey L Beeson

Title

Owner, Billing Co.

Phone

(317) 863-2593

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Helen Fiscus, LMFT

  • Marriage & Family Therapist
  • Kokomo, IN
  • NPI 1760592307

  Clinical

  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1417119884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 ORANGE BLOSSOM TRL",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460387447",
            "telephone_number": "317-863-2593",
            "fax_number": "317-863-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELVEDERE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015627",
            "telephone_number": "765-453-4527",
            "fax_number": "317-863-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE JOHNSON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BEESON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, BILLING CO.",
        "authorized_official_telephone_number": "317-863-2593"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004095A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871574475",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medi Just LLC
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• Medical Service Company (MSC Sleep)
• Medical Surgical Associates PC
• Meijer Stores Limited Partnership (Meijer Pharmacy #141)
• Julia Mello Vaz
• Melody E Marley, LLC
• Cara Louise Melvin, NP
• Michael James Mendler, PT
• Mercy Family Health Center

• Clinical Social Worker in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.