Melissa Evonne Johnson Ford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10463 Issued in SC

Practice address

300 Rainbow Dr Ste 104
Florence, SC 29501-4155

Phone

(843) 206-3556

NPI assigned

Nov 16, 2024

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 SC

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of South Carolina LLCGroup PAC ID 7618352451, 32 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care of South Carolina LLC

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1417681412
  Medicare reassignment Care Compare group NPD
• Exodus Counseling and Consulting LLC

  • Mental Health Counselor
  • Florence, SC
  • NPI 1417765801
  NPD Authorized official

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1477378313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 SOUTHBROOK CIR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055126",
            "telephone_number": "843-206-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAINBOW DR STE 104",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014155",
            "telephone_number": "843-206-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2712 Middleburg Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042415",
            "country_code": "US",
            "telephone_number": "843-206-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON FORD",
        "first_name": "MELISSA",
        "middle_name": "EVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLB Counseling Agency, LLC
• Laura Johannsen
• John J Kirkland MD PA
• Jennifer Moreau John, MS,OTR/L
• Paul Michael John, PT, MS, ATC
• Johnson-Thomas Medical Training Center, LLC
• Anna Johnson
• Anzy Johnson
• Aubrey Johnson
• Bruce G Johnson, MD

• Mental Health Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.