Elaine K Johnson Ma LP Ladc PLLC

Primary specialty

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

Legal business name

ELAINE K JOHNSON MA LP LADC PLLC

Practice address

521 Tanglewood Dr
Shoreview, MN 55126-2016

Phone

(612) 801-5826

Fax

(651) 490-5215

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By 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

Elaine Johnson

Title

Owner

Phone

(612) 801-5826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1063234268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 TANGLEWOOD DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262016",
            "telephone_number": "612-801-5826",
            "fax_number": "651-490-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 TANGLEWOOD DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262016",
            "telephone_number": "612-801-5826",
            "fax_number": "651-490-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE K JOHNSON MA LP LADC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-801-5826"
    },
    "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": []
}

• Ecumen (Ecumen at Home)
• Edge Health Care and Mental Health Services
• Jasmine Egli
• Chad Alan Eiswald, D.C.
• Ekan J Ekong, CNP
• Barbara Elfstrom, MD
• Naomi N Elliott-Logan
• Lynn Elrod, FNP
• Kurt A Elting-Ballard, MD
• Jennifer Ruth Elton, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shoreview, MN
• Providers in Shoreview, 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 Oct 29, 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.