Organization Active NPI

Melinda M Johnston PLLC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1619480928
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401009761 Issued in MI
Legal business name
MELINDA M JOHNSTON PLLC
Practice address
130 Ridgewood St
Kalamazoo, MI 49001-4244
Phone
(269) 998-8822
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Melinda M Johnston, MA, LLP, LPC
Title
Owner
Phone
(269) 998-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401009761 MI Primary

Addresses

Primary practice location

130 Ridgewood St
Kalamazoo, MI 49001-4244

Mailing address

130 Ridgewood St
Kalamazoo, MI 49001-4244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1619480928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIDGEWOOD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIDGEWOOD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014244",
            "telephone_number": "269-998-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA M JOHNSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-998-8822",
        "authorized_official_credential": "MA, LLP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.