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MELINDA NICOLE JOHNSON M.A., PH.D.
NPI 1467753590
Counselor - Mental Health in Vancouver, WA

Active since November 05, 2010PECOS Enrolled
1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683(360) 619-2226(360) 326-9691 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Melinda Nicole Johnson M.a., Ph.d. NPPES

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

MELINDA NICOLE JOHNSON M.A., PH.D. (NPI 1467753590) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH60133759) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1467753590
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELINDA NICOLE JOHNSONCredential: M.A., PH.D.
Location Address1498 SE TECH CENTER PL STE 300Vancouver, WA 98683-5509
Mailing Address1015 12th StWashougal, WA 98671-1203 · (360) 903-1662
Phone(360) 619-2226
Fax(360) 326-9691
Sole ProprietorYes
Enumeration DateNovember 5, 2010
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1467753590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60133759
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C6110 (OR)
1498 SE TECH CENTER PL STE 300, Vancouver, WA 98683
Open in Google Maps ↗

Secondary Practice Location 1

Location 11498 SE Tech Center Pl Ste 180Vancouver, WA 98683-5518 · Phone (360) 200-8670 · Fax (360) 838-0413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Nicole Johnson M.a., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Melinda Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Real Life Counseling PLLC
Same address
Clinical
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
  • Reassigned Medicare billing, Washington enrollment
  • 54 clinicians in this Medicare group
NPI 1053782078 (360) 619-2226

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 20

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

MR. JOSEPH MELVIN KLEMZ LICSW
Social Worker (Clinical)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 619-2226
JULIE LYNN OLSON
Student in an Organized Health Care Education/Training Program
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 209-3813
ANNA CHRISTINE PETERSON MA, LMHC, NCC
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 619-2226
MRS. JOU JULIE YANG LMHC, LPC, NCC
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 619-2226
TRAVIS LEE PIERON
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 836-0529
LINDSEY N RUSSETT LMHC, CMHS
Counselor (Professional)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 619-2226
RITA OWENS
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 207-0172
REAL LIFE COUNSELING PLLC
Social Worker (Clinical)
1498 SE TECH CENTER PL STE 300
VANCOUVER, WA 98683
Clark County (360) 619-2226

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 Melinda Johnson's NPI number?

The NPI number for Melinda Johnson is 1467753590. It was assigned to this individual provider in the NPPES registry on November 5, 2010.

Where is Melinda Johnson located?

Melinda Johnson practices at 1498 SE Tech Center Pl Ste 300, Vancouver, WA 98683. The listed phone number is (360) 619-2226.

What is Melinda Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melinda Johnson enrolled in Medicare?

Yes. Melinda Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melinda Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Johnson reassigns Medicare benefits to Real Life Counseling PLLC (Vancouver, WA). 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 Melinda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Johnson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Melinda 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 Melinda Johnson was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.