Melanie Johnson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00692 Issued in MN

Practice address

14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422

Phone

(952) 435-8814

Fax

(952) 435-7705

NPI assigned

Dec 15, 2013

Last updated

May 3, 2018By 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

Other names 1

• Melanie Thompson Former name

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": "1387065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1548681737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELANIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-15",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "THOMPSON",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine L Johnson, OD
• Kyle R Johnson
• Leah Caroline Johnson
• Louise Tomah Johnson
• Mary Elizabeth Johnson
• Monica Johnson
• Neil Gordon Johnson, D.O.
• Neil Rodman Johnson, MD
• Nicole Marie Johnson
• Sarah M Johnson

• Professional Counselor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.