MELINDA L JOHNSON (NPI# 1205189545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189545 |
| Entity Type | Individual |
| Full Name | MELINDA L JOHNSON |
| Credential | LPC |
| Practice Address |
10752 Beal Ave Hayward WI 54843-6435 |
| Mailing Address |
15954 Rivers Edge Dr Ste 304 Hayward WI 54843-7894 |
| Practice Telephone | 7156342522 |
| Practice Fax Number | 7156342533 |
| Mailing Telephone | 7156342541 |
| Mailing Fax Number | 7155984881 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4560-125 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11128 N State Hwy 77, Hayward, WI 548435332 | 7156342541 | 7155984881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659867133 | Melinda Johnson | Licensed Practical Nurse | 3437 W 88th St, Cleveland, OH 44102-4823 | 2018-07-08 |
| 1932483112 | Melinda Wendling Johnson | Physical Therapist | 12754 Via Grimaldi, Del Mar, CA 92014-3808 | 2011-10-05 |
| 1972101954 | Melinda Johnson | Behavior Technician | 1582 N Waggoner Rd, Blacklick, OH 43004-8669 | 2020-10-13 |
| 1558904318 | Melinda Johnson | Social Worker | 1601 Ne Braille Pl, Jensen Beach, FL 34957-5345 | 2019-10-24 |
| 1386109098 | Melinda Sue Johnson | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-02-06 |
| 1225529746 | Melinda Jane Johnson | Dietitian, Registered | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2018-05-21 |
| 1952817850 | Melinda Catherine Johnson | Clinic/Center | 2736 W 10th St, Lakeland, FL 33805-3982 | 2017-12-14 |
| 1952751166 | Melinda K Johnson | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2016-06-18 |
| 1740635200 | Melinda Johnson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-05-03 |
| 1841667532 | Melinda Brooke Johnson | Marriage & Family Therapist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2015-08-28 |
| Street Address |
10752 BEAL AVE |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245611698 | Julie Glynn | Social Worker | 10752 Beal Ave, Hayward, WI 54843-6435 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492057 | Carrie Nadelhoffer | Counselor | 15655 W County Highway B, Hayward, WI 54843-2680 | 2017-04-21 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1902287543 | Kelly Shelby | Counselor | 16929 Harvard Ave, Hayward, CA 94541-1350 | 2015-06-09 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1609198027 | Great Lakes Mental Health Center | Counselor | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2010-02-26 |
| 1740760792 | Aimen Bukhari | Counselor | 2595 Depot Rd, Hayward, CA 94545-2341 | 2018-08-20 |
| 1497274591 | Paul David Workman | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2017-09-11 |
| 1184007387 | Karen Corpuz | Counselor | 1065 A St, Hayward, CA 94541-4122 | 2015-07-07 |
| 1861826299 | Adriana Portillo Gonzalez | Counselor | 21455 Birch St, Ste 201, Hayward, CA 94541-2165 | 2013-08-21 |
| 1124451174 | Deborah Schlapper | Counselor | 15655 W County Road B, Hayward, Hayward, WI 54843-2680 | 2013-08-14 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.