Active NPI
Melinda Young
- Clinical Social Worker
- Hugo, MN
National Provider Identifier
1740656289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18082
- Practice address
- 14701 Victor Hugo Blvd N
Hugo, MN 55038-4561 - Phone
- (651) 426-1141
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18082 | MN | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Mailing address
345 Smith Ave N
Saint Paul, MN 55102-2346
Other practice location 1
963 Robert St S
West St Paul, MN 55118-1446
Phone (651) 726-9500
Other names 1
- Melinda Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18082 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canvas Health, Inc. | Mental Health | Current | Accepting new patients |
| Family Innovations, Inc. | Clinical | Past | Accepting new patients |
Locations
7066 Stillwater Blvd N
Saint Paul, MN 55128
375 Orleans St E
Stillwater, MN 55082
Phone (651) 430-2720
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Oakdale, MN
- NPI 1922051325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1740656289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 VICTOR HUGO BLVD N",
"city": "HUGO",
"state": "MN",
"postal_code": "550384561",
"telephone_number": "651-426-1141"
}
],
"practiceLocations": [
{
"address_1": "963 Robert St S",
"address_purpose": "LOCATION",
"city": "West St Paul",
"state": "MN",
"postal_code": "551181446",
"country_code": "US",
"telephone_number": "651-726-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18082",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.