| Melinda L Johnson, LPC | |
|
15954 Rivers Edge Dr, Hayward, WI 54843-7800 | |
| (715) 634-2541 | |
| (715) 598-4881 |
| Full Name | Melinda L Johnson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 15954 Rivers Edge Dr, Hayward, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205189545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4560-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Community Health Center Inc | 0840366654 | 88 |
| Entity Name | The Lakes Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda L Johnson, LPC 15735 W Us Highway 63, Hayward, WI 54843-6475 Ph: (715) 934-0710 | Melinda L Johnson, LPC 15954 Rivers Edge Dr, Hayward, WI 54843-7800 Ph: (715) 634-2541 |
Beth E Achtor-loder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10592 Main Street, Hayward, WI 54843 Phone: 715-699-6062 | |
Jenny A Ingram, MS,CSAC,IDP-AT,PSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5116 Fax: 715-638-6107 | |
Dr. Lori Leanne Soli, PHD LPCC ACS BCTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 10436 Bay Ave, Hayward, WI 54843 Phone: 858-952-9571 | |
Wesley Mark Wilson, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 10752 Beal Ave, Hayward, WI 54843 Phone: 715-533-0736 | |
Cassidie Demarr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10752 Beal Ave, Hayward, WI 54843 Phone: 715-634-0222 | |
Elizabeth Anne Johnson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 10594 Main Street #1021, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091 | |
Kevin Lynch, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 15910 W Company Lake Rd, Hayward, WI 54843 Phone: 715-558-1274 |