Amanda Lee Johnson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

124641 Issued in IA

Practice address

12247 Stratford Dr
Clive, IA 50325-8147

Phone

(803) 636-7506

NPI assigned

Jun 8, 2018

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1013400688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 ORCHARD DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667692",
            "telephone_number": "803-636-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258147",
            "telephone_number": "803-636-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Wheaton Way",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103371",
            "country_code": "US",
            "telephone_number": "360-377-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "124641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dee Jensen, ARNP
• Korbyn R. Jerabek, PA-C
• Jacob Jipp, M.D.
• JMG Therapy and Counseling
• Jillian Anne Johns
• Amy R Johnson, PT
• Brooke Lauren Johnson, OTR/L
• Channing Johnson, ARNP, FNP-C
• Christopher M Johnson, DO
• Torri Madison Johnson, LISW

• Mental Health Counselor in Clive, IA
• Providers in Clive, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.