Organization Active NPI

Jan Johnson

Doing business as First Step

  • Addiction (Substance Use Disorder) Counselor
  • Staples, MN
National Provider Identifier
1093920951
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1039408-1-CDT Issued in MN
Legal business name
JAN JOHNSON
Doing business as
First Step
Practice address
201 6TH St NE
Staples, MN 56479-2431
Phone
(218) 894-0034
NPI assigned
May 14, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ms. Jan J Johnson, LADC
Title
Director
Phone
(218) 894-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1039408-1-CDT MN Primary

Addresses

Primary practice location

201 6TH St NE
Staples, MN 56479-2431

Mailing address

518 2ND Ave NE
Staples, MN 56479-2930
Phone (218) 894-2412

Other identifiers 1

IdentifierTypeStateIssuer
437100000OtherMNMHCP

Other names 1

  • First Step Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Step4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

518 2nd Ave NE
Staples, MN 56479
Phone (218) 894-1077

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1093920951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 2ND AVE NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792930",
            "telephone_number": "218-894-2412",
            "fax_number": "218-894-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 6TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792431",
            "telephone_number": "218-894-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-894-0034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1039408-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "437100000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staples, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.