Melveena Johnson-Bolden, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R197061 Issued in MD

Practice address

1300 Mercantile LN Ste 129-14
Upper Marlboro, MD 20774-5327

Phone

(301) 381-3622

Fax

(877) 832-1272

NPI assigned

Oct 17, 2021

Last updated

Apr 30, 2025By the provider in NPPES

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 DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MJB Holistic and Therapeutic Services

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
  • NPI 1093469231

  DC

  Medicare reassignment NPD Authorized official
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Whitesell and Associates, Inc

  • Professional Counselor
  • Bel Air, MD
  • NPI 1407194905
  NPD

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1922761956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 HUNTERTON ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741614",
            "telephone_number": "301-807-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-14",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-381-3622",
            "fax_number": "877-832-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12008 Hunterton St",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207741614",
            "country_code": "US",
            "telephone_number": "301-807-7138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Marks Church Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092670",
            "country_code": "US",
            "telephone_number": "301-381-3622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9707 Key West Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503992",
            "country_code": "US",
            "telephone_number": "240-750-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-BOLDEN",
        "first_name": "MELVEENA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melveena@mjbholistic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "address",
            "address_1": "12008 Hunterton St",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sayuri Priyadarshika Jinadasa, M.D.
• Nusirat Adepeju Adebimpe Jinadu, MD
• Jireh Healthcare Services Inc
• JLW, Inc. LLC (JLW Home Health Care Services)
• Jma Mental Health and Psychiatric Services LLC
• Arvel Johnson, RBT
• Christen Erika Johnson
• Debra Johnson
• Denvia B Johnson, PA C
• Monica L Johnson, LCPC

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.