Organization Active NPI

Maggie Johnson LPCC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richfield, MN
National Provider Identifier
1033083407
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAGGIE JOHNSON LPCC LLC
Practice address
7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142
Phone
(612) 208-7372
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Maggie Johnson, MA LPCC
Title
Owner
Phone
(612) 208-7372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142

Mailing address

7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142
Phone (612) 208-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260311002830 MN Part B Supplier - Clinic/Group Practice 4688157233 Receives reassigned benefits from 1 practitioner
Practice locations: Richfield, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1033083407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 180",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234142",
            "telephone_number": "612-208-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 180",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234142",
            "telephone_number": "612-208-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE JOHNSON LPCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-208-7372",
        "authorized_official_credential": "MA LPCC"
    },
    "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": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.