Melinda Brooke Johnson, MA, LMFT, PMH-C

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60922829 Issued in WA

Practice address

371 NE Gilman Blvd Ste 160
Issaquah, WA 98027-2901

Phone

(425) 495-4163

NPI assigned

Aug 28, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Arise and Associates PLLC

  • Mental Health Counselor
  • Issaquah, WA
  • NPI 1821632597
  NPD Authorized official
• Bold Living Counseling PLLC

  • Marriage & Family Therapist
  • Issaquah, WA
  • NPI 1710459672
  NPD Authorized official

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1841667532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NE GILMAN BLVD STE 160",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272901",
            "telephone_number": "425-495-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NE GILMAN BLVD STE 160",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272901",
            "telephone_number": "425-495-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELINDA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60922829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Claire Johnson
• Jennifer Johnson, MA, LMHCA
• Kyleigh Johnson, OD
• Mallory Marie Johnson, LMP
• Mary-Elizabeth Johnson
• Paula B Johnson, MS, LMHC
• Tiffany Charlene Johnson, CNM, ARNP
• Craig Peter Johnston, D.D.S.
• Leanne Johnston
• Jonathan Brown PLLC

• Marriage & Family Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.