MELISSA JOHNSON
NPI 1194219709
Psychologist in Salt Lake City, UT

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
265 E 100 S STE 250, SALT LAKE CITY, UT 84111(801) 483-2447 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2021, Jan 26, 2019, Jun 18, 2018 (3 updates tracked since 2018).

About Melissa Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA JOHNSON (NPI 1194219709) is an individual psychologist in Salt Lake City, Utah, licensed in Utah (10985147-2501) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194219709
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMELISSA JOHNSON
Location Address265 E 100 S STE 250Salt Lake City, UT 84111-1643
Mailing Address265 E 100 S Ste 250Salt Lake City, UT 84111-1643 · (304) 376-0723
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1194219709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in UT · 10985147-2501
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
265 E 100 S STE 250, Salt Lake City, UT 84111

Secondary Practice Location 1

Location 13220 W Ina Rd Apt 16204Tucson, AZ 85741-2171 · Phone (304) 376-0723

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294075396
PECOS Enrollment IDI20190328000709
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
525 E 100 S, SUITE 120
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Community/Behavioral Health
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Nurse Practitioner (Psychiatric/Mental Health)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Counselor (Mental Health)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111
Social Worker (Clinical)
265 E 100 S STE 250
SALT LAKE CITY, UT 84111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1194219709. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Melissa Johnson located?

Melissa Johnson practices at 265 E 100 S Ste 250, Salt Lake City, UT 84111. The listed phone number is (801) 483-2447.

What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Melissa Johnson enrolled in Medicare?

Yes. Melissa Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melissa Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Johnson reassigns Medicare benefits to Center For Human Potential Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Johnson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Melissa Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.