MELISSA JOHNSON M.S.ED.
NPI 1174910327
Counselor - Mental Health in Port Jefferson Station, NY
Active since April 24, 2015
5141 NESCONSET HWY # 1007, PORT JEFFERSON STATION, NY 11776(631) 658-5223 Get Directions Write a Review
About Melissa Johnson M.s.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA JOHNSON M.S.ED. (NPI 1174910327) is an individual mental health provider in Port Jefferson Station, New York and active in the NPI registry since April 2015.
NPPES Registry Identity
NPI1174910327
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA JOHNSONCredential: M.S.ED.
Location Address5141 NESCONSET HWY # 1007Port Jefferson Station, NY 11776-1355
Mailing Address5141 Nesconset Hwy # 1007Port Jefferson Station, NY 11776-1355 · (631) 658-5223
Phone(631) 658-5223
Sole ProprietorNo
Enumeration DateApril 24, 2015
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1174910327 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5141 NESCONSET HWY # 1007, Port Jefferson Station, NY 11776
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174910327, enumerated as an "individual" on April 24, 2015.
The provider is located at 5141 NESCONSET HWY # 1007 PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 658-5223.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
