Individual provider Active NPI

Megan Johnson, LCSW, CAC III

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1104252329
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923648 Issued in CO
Practice address
125 Crestridge St
Fort Collins, CO 80525-3934
Phone
(970) 494-9761
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACC.0006368COMDAddiction (Substance Use Disorder) Counselor
CSW.09923648COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Journey Counseling of Fort Collins Addiction (Substance Use Disorder) CurrentSince Jan 8, 2023 Accepting new patients

Locations

2629 Redwing Rd
Ste 260
Fort Collins, CO 80526
Phone (970) 988-4131

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0006368 CO
Clinical Social Worker 1041C0700X CSW.09923648 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

125 Crestridge St
Fort Collins, CO 80525-3934

Mailing address

125 Crestridge St
Fort Collins, CO 80525-3934
Phone (970) 494-9761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2014.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1104252329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRESTRIDGE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253934",
            "telephone_number": "970-494-9761",
            "fax_number": "970-300-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CRESTRIDGE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253934",
            "telephone_number": "970-494-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "credential": "LCSW, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0006368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.