Debbie Rae Johnson, LADC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03414 Issued in MN

Practice address

6448 Main St Ste 1And3
North Branch, MN 55056-7068

Phone

(651) 775-9804

Fax

(844) 364-7181

NPI assigned

Oct 29, 2019

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1053955476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26972 JAMES AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139605",
            "telephone_number": "612-479-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 MAIN ST STE 1AND3",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550567068",
            "telephone_number": "651-775-9804",
            "fax_number": "844-364-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBBIE",
        "middle_name": "RAE",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylene Mya Hutchings, DC
• JC Heartfelt Homes LLC
• Jerry'S Enterprises, Inc
• Annie Johansson
• Cara Johnson, M.S., MFT
• Maggie Florence Johnson, LPCC
• Rori Joanna Johnson, PSYD LP
• Eve Marie Kaldahl, LPC
• Koski Consulting
• William John Koski, LISW

• Mental Health Counselor in North Branch, MN
• Providers in North Branch, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.