Melissa Marie Johansen, LISW-CP, LCSW-C, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13535 Issued in SC

Practice address

4420 Oleander Dr Ste 201
Myrtle Beach, SC 29577-5721

Phone

(800) 552-4357

Fax

(678) 388-9244

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

Yes

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

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Etheria Counseling LLCGroup PAC ID 0547793978, 5 clinicians

Synergy Counseling Services LLCGroup PAC ID 9638083298, 8 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 and National Provider Directory roles.

• Etheria Counseling LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1609546613

  Clinical

  Medicare reassignment Care Compare group NPD
• Synergy Counseling Services LLC

  • Professional Counselor
  • Summerville, SC
  • NPI 1801838552

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Oceanic Counseling Group LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1922631522

  Multi-Specialty

  Medicare reassignment NPD
• Seaside Reflections Counseling, LLC

  • Clinical Social Worker
  • Conway, SC
  • NPI 1225856792
  Medicare reassignment NPD
• Seaside Reflections Counseling, LLC

  • Mental Health Counselor
  • Conway, SC
  • NPI 1275351975
  NPD
• Covenant Counseling of South Carolina

  • Professional Counselor
  • Summerville, SC
  • NPI 1073732822

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1750820973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 POSTAL WAY UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793527",
            "telephone_number": "843-258-3976",
            "fax_number": "843-277-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775721",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 21st Ave N Ste 17",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295777496",
            "country_code": "US",
            "telephone_number": "843-868-6200",
            "fax_number": "843-868-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4006 Postal Way Unit A",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295793527",
            "country_code": "US",
            "telephone_number": "843-258-3976",
            "fax_number": "843-277-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LISW-CP, LCSW-C, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Jeudy, MD
• Jga Medical Ventures, P.C.
• Shiyu Jing, MD
• JM Counseling, LLC
• Reilly Jobkar
• Archie Johnson, PHD
• Austin James Johnson
• Brielle Sylvia Johnson, M.A.
• Christopher Glenn Johnson II, MD
• Connor Johnson

• Clinical Social Worker in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.
• 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.