Melissa Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1187 Queen St
Southington, CT 06489-1266

Phone

(860) 245-1294

NPI assigned

Jan 22, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

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.

• Live Life Now Health Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Yonkers, NY
  • NPI 1770111429

  CT, Single Specialty

  Medicare reassignment NPD
• Melissa Johnson Therapy, LLC

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1831899137

  Single Specialty

  NPD Authorized official
• Hop Brook Counseling Center, LLC

  • Clinical Psychologist
  • Southington, CT
  • NPI 1649676297
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1851921589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SPLIT ROCK DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 QUEEN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891266",
            "telephone_number": "860-245-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Main St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060511812",
            "country_code": "US",
            "telephone_number": "860-268-6936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpaternoster@gileadcs.org",
            "affiliation": "N",
            "endpointDescription": "Gilead email",
            "address_1": "586 Main St",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060511812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lukasz Jamrozek
• Kaitlin Jarjura
• Patricia Jawor, PT, DPT
• Rebecca Davies Jeffery, PA-C
• Ebony Tasha Johnson, APRN
• F. Michael Joseph, PHD, PT
• Joyce C. Day, PH.D., LLC
• Katrina Lin Judd, COTA/L
• Caitlin Julian
• Just4Kidzdentistry

• Social Worker in Southington, CT
• Providers in Southington, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.