Craig M Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

42081 Issued in ID

Practice address

2565 N Currant PL
Boise, ID 83704-5594

Phone

(208) 859-5373

NPI assigned

Jun 19, 2017

Reactivated

May 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Quality

67.72

Promoting interoperability

98

Improvement activities

40

Cost

63.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: craig.johnson.2@24259.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peace and Purpose Therapy LLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174214290
  NPD
• Behavioral Health Solutions of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1164286092
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1053841247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 N CURRANT PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045594",
            "telephone_number": "208-859-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 N CURRANT PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045594",
            "telephone_number": "208-859-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7091 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048618",
            "country_code": "US",
            "telephone_number": "208-991-3681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4477 W Emerald St Ste C100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837062058",
            "country_code": "US",
            "telephone_number": "208-859-5373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Badiola St",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054389",
            "country_code": "US",
            "telephone_number": "208-859-5373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "deactivation_date": "2022-04-14",
        "reactivation_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "42081",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "36721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Ann Johnson, PT
• Christopher K Johnson, PHARM.D
• Claire Marie Johnson
• Cody Johnson
• Connor Johnson, PA
• Danielle Naomi Johnson, LCSW
• David Alan Johnson, LMSW
• David M Johnson, MD
• Degolia Monzello Johnson, LMSW
• Elizabeth (Betsy) Jane Johnson, LCPC

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.