Alex Johnson Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ALEX JOHNSON COUNSELING, LLC

Practice address

4525 White Bear Pkwy Ste 121
White Bear Lake, MN 55110-7651

Phone

(612) 419-5985

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alex Nicholas Coffey Johnson, MSW, LICSW, LADCNPI 1578802336

Title

Owner

Phone

(612) 419-5985

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Nicholas Coffey Johnson, MSW LICSW LADC

  • Clinical Social Worker
  • Eagan, MN
  • NPI 1578802336
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1003626169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 121",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107651",
            "telephone_number": "612-419-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 121",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107651",
            "telephone_number": "612-419-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX JOHNSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "NICHOLAS COFFEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-419-5985",
        "authorized_official_credential": "MSW, LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.