Melissa Ann Johnson
Peer Specialist • Tulsa, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Melissa Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Melissa Johnson was a registered Peer Specialist practicing in Tulsa, OK. Throughout an active medical career spanning 3 years, Melissa Johnson provided care at the practice location at 4103 S YALE AVE until profile deactivation on 2026-02-26.
Practice Location & Contact Primary Location
4103 S Yale Ave
Tulsa, OK 741356002
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Tulsa, OK
Practicing in Tulsa, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Peer Specialist
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Social Worker - Clinical
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 26, 2026
NPI status registered as active in NPPES database
Registered at 4103 S YALE AVE, TULSA, OK 741356002 (Tel: 4052751844)
Registered at 429 N UNION AVE, SHAWNEE, OK 748017064 (Tel: 4052751844)
Recorded as MELISSA JOHNSON
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
429 N Union Ave
Shawnee, OK 748017064
Phone: 4052751844
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