MELITA TRAVIS JOHNSON, LMSW, CCDP
NPI 1417355322
Community/Behavioral Health in Grand Rapids, MI

Q: What is Melita Travis Johnson, Lmsw, Ccdp's NPI number?

The NPI number for Melita Travis Johnson, Lmsw, Ccdp is 1417355322. It was assigned to this organization in the NPPES registry on December 9, 2014.

Q: What is Melita Travis Johnson, Lmsw, Ccdp's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 09, 2014

770 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546(616) 481-9337(616) 719-3119 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Melita Travis Johnson, Lmsw, Ccdp NPPES

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

MELITA TRAVIS JOHNSON, LMSW, CCDP (NPI 1417355322) is a healthcare organization registered as a community/behavioral health in Grand Rapids, Michigan and active in the NPI registry since December 2014. The organization lists Melita Travis Johnson, Therapist Consultant, as its authorized official.

NPPES Registry Identity

NPI1417355322

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMELITA TRAVIS JOHNSON, LMSW, CCDP

Location Address770 KENMOOR AVE SE STE 103Grand Rapids, MI 49546-8602

Mailing Address1130 Elmdale Ave NeGrand Rapids, MI 49525-2632 · (616) 481-9337 · Fax (616) 719-3119

Phone(616) 481-9337

Fax(616) 719-3119

Organization SubpartNo

Authorized OfficialMelita Travis JohnsonTherapist Consultant · (616) 481-9337

Enumeration DateDecember 9, 2014

✔ NPI 1417355322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · 6801063274

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

770 KENMOOR AVE SE STE 103, Grand Rapids, MI 49546

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MS. MELITA TRAVIS JOHNSON LMSW, CCDP

Social Worker (Clinical)

770 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546

Kent County (616) 481-9337

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 Melita Travis Johnson, Lmsw, Ccdp's NPI number?

The NPI number for Melita Travis Johnson, Lmsw, Ccdp is 1417355322. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Melita Travis Johnson, Lmsw, Ccdp located?

Melita Travis Johnson, Lmsw, Ccdp is located at 770 Kenmoor Ave SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 481-9337.

What is Melita Travis Johnson, Lmsw, Ccdp's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Melita Travis Johnson, Lmsw, Ccdp was last updated on December 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.