Active NPI
Genevieve Johnson
- Mental Health Counselor
- Longmont, CO
National Provider Identifier
1114416278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2130 Mountain View Ave Ste 106
Longmont, CO 80501-3177 - Phone
- (916) 215-9128
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2130 Mountain View Ave Ste 106
Longmont, CO 80501-3177
Mailing address
1124 Kansas Ave
Longmont, CO 80501-6648
Phone (916) 215-9128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genevieve Johnson Psychotherapy | Mental Health | Current | Accepting new patients |
Locations
2130 Mountain View Ave
Ste 202
Longmont, CO 80501
Phone 7206004992 ext. 701
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.
-
dba Empowered Play: Center for Child and Family Therapy
- Mental Health Counselor
- Longmont, CO
- NPI 1225848724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1114416278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 KANSAS AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016648",
"telephone_number": "916-215-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 MOUNTAIN VIEW AVE STE 106",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013177",
"telephone_number": "916-215-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GENEVIEVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.