MELISSA ANN JOHNSON M.S.
NPI 1649317645
Counselor - Mental Health in Fremont, CA

Q: What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1649317645. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Melissa Johnson's specialty?

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

Q: Is Melissa Johnson enrolled in Medicare?

No. Melissa Johnson has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 30, 2007Opted out of Medicare · through Jan 10, 2028

38970 BLACOW RD STE C, FREMONT, CA 94536(925) 683-6664(510) 794-8398 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Melissa Ann Johnson M.s. NPPES

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

MELISSA ANN JOHNSON M.S. (NPI 1649317645) is an individual mental health provider in Fremont, California, licensed in California (IMF46116) and active in the NPI registry since January 2007. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1649317645

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMELISSA ANN JOHNSONCredential: M.S.

Location Address38970 BLACOW RD STE CFremont, CA 94536-7380

Mailing AddressPo Box 2614Livermore, CA 94551-2614 · (925) 683-6664

Phone(925) 683-6664

Fax(510) 794-8398

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1649317645 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 CA · IMF46116

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License IMF46116 (CA)

38970 BLACOW RD STE C, Fremont, CA 94536

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Melissa Ann Johnson M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024

Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 7

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

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