MELINDA L JOHNSON LPC
NPI 1205189545
Counselor - Professional in Hayward, WI

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
15954 RIVERS EDGE DR, HAYWARD, WI 54843(715) 634-2541(715) 598-4881 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2023, Mar 17, 2018, Feb 20, 2018 (3 updates tracked since 2018).

About Melinda L Johnson Lpc NPPES

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

MELINDA L JOHNSON LPC (NPI 1205189545) is an individual professional provider in Hayward, Wisconsin, licensed in Wisconsin (4560-125) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205189545
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELINDA L JOHNSONCredential: LPC
Location Address15954 RIVERS EDGE DRHayward, WI 54843-7800
Mailing Address15735 W Us Highway 63Hayward, WI 54843-6475 · (715) 934-0710 · Fax (715) 598-4881
Fax(715) 598-4881
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 24, 2012
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1205189545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 4560-125
15954 RIVERS EDGE DR, Hayward, WI 54843

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melinda L Johnson Lpc 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 ID2860842473
PECOS Enrollment IDI20231222000962
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.

Other Providers at the Same Location NPPES 20

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

Case Management
15954 RIVERS EDGE DR, SUITE #300
HAYWARD, WI 54843
Durable Medical Equipment & Medical Supplies
15954 RIVERS EDGE DR, SUITE 350
HAYWARD, WI 54843
Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physician Assistant (Medical)
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Counselor (Addiction (Substance Use Disorder))
15954 RIVERS EDGE DR
HAYWARD, WI 54843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205189545, enumerated as an "individual" on October 24, 2012.

The provider is located at 15954 RIVERS EDGE DR HAYWARD, WI 54843 and the phone number is (715) 634-2541.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Aspirus Health Plan, CareSource (Common Ground. Please consult your insurance carrier or call the provider to verify.