Melissa Ann Johnson, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF46116 Issued in CA

Practice address

38970 Blacow Rd Ste C
Fremont, CA 94536-7380

Phone

(925) 683-6664

Fax

(510) 794-8398

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649317645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2614",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945512614",
            "telephone_number": "925-683-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38970 BLACOW RD STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367380",
            "telephone_number": "925-683-6664",
            "fax_number": "510-794-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF46116",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF46116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen C Johnson, LCSW
• Emmajean Johnson
• Justin M Johnson, NREMT
• Kyle Eric Johnson, M.D.
• Lorielle J Johnson
• Monique Johnson
• Timothy David Johnson, P.T.A.
• Warren Marion Johnson, DPM
• Elizabeth Jokerst, M.D.
• Joseph John Joly, D.C.

• Mental Health Counselor in Fremont, CA
• Providers in Fremont, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.