MELISSA E JOHNSON LCPC
NPI 1386125060
Counselor - Professional in Springfield, IL

Q: What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1386125060. It was assigned to this individual provider in the NPPES registry on August 22, 2018. The provider is also known as Melissa E Norville Ma.

Q: What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on June 7, 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.

Active since August 22, 2018PECOS Enrolled

2239 E COOK ST, SPRINGFIELD, IL 62703(217) 788-2300 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2021, Jun 3, 2021, May 24, 2021 and 2 more (5 updates tracked since 2018).

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About Melissa E Johnson Lcpc NPPES

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

MELISSA E JOHNSON LCPC (NPI 1386125060) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180011781) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386125060

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMELISSA E JOHNSONCredential: LCPC

Location Address2239 E COOK STSpringfield, IL 62703-1944

Mailing Address2239 E Cook StSpringfield, IL 62703-1944 · (217) 788-2300 · Fax (217) 788-2343

Phone(217) 788-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 22, 2018

Last NPPES UpdateJune 7, 20215 updates tracked since enumeration

NPPES CertifiedJune 7, 2021

✔ NPI 1386125060 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 IL · 180011781

2239 E COOK ST, Springfield, IL 62703

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Other Names 1

Former Name (1)Melissa E Norville Ma

Secondary Practice Location 1

Location 1710 N 8th StSpringfield, IL 62702-6324 · Phone (217) 525-1064 · Fax (217) 525-1651

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa E Johnson Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870035637

PECOS Enrollment IDI20240607001355

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.

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