Rhonda Johnson, MSW, Licsw LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12066 Issued in MN

Legal business name

RHONDA JOHNSON, MSW, LICSW LLC

Practice address

2006 1St Ave Ste 101
Anoka, MN 55303-2255

Phone

(952) 240-0109

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Rhonda Johnson, LICSWNPI 1285667055

Title

Private Practice

Phone

(952) 240-0109

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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

• Rhonda Mae Burns Johnson, MSW, LICSW

  • Clinical Social Worker
  • Anoka, MN
  • NPI 1285667055
  Medicare reassignment NPD Authorized official
• Jennifer G Enstad, PSY.D., L.P.

  • Counseling Psychologist
  • Maple Grove, MN
  • NPI 1093725467
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1063770139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE STE 101",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032255",
            "telephone_number": "952-240-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE STE 101",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032255",
            "telephone_number": "952-240-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA JOHNSON, MSW, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRIVATE PRACTICE",
        "authorized_official_telephone_number": "952-240-0109",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "12066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275413400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rensch, Becker and Iwen, D.D.S., P.a.
• Scott E. Rensch, D.D.S.
• Austin Rewerts
• Lisa Mortie Reynoso, MA, LPCC
• Haley Rezac
• Hannah Rider
• Fiona Rife
• Catherine Elaine Rincon, LPN
• River Place by Serenity, LLC
• Riverplace Counseling Centers Inc

• Community/Behavioral Health Agency in Anoka, MN
• Providers in Anoka, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.