Individual provider Active NPI

Alison Robin Johnson, LPC-IT

  • Counselor
  • Weston, WI
National Provider Identifier
1124774955
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5235226 Issued in WI
Practice address
6405 Quentin St
Weston, WI 54476-6634
Phone
(262) 409-0191
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5235226 WI Primary

Addresses

Primary practice location

6405 Quentin St
Weston, WI 54476-6634

Mailing address

6405 Quentin St
Weston, WI 54476-6634
Phone (262) 409-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000869 WI Practitioner - Mental Health Counselor 2860912227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5235226WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wisconsin Mental Health Associates, SC CurrentSince Feb 20, 2025 Accepting new patients

Locations

1699 Schofield Ave
Ste 120
Schofield, WI 54476
Phone (715) 907-1880

1699 Schofield Ave
Ste 119120
Schofield, WI 54476
Phone (715) 297-9138

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1124774955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 QUENTIN ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766634",
            "telephone_number": "262-409-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 QUENTIN ST",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766634",
            "telephone_number": "262-409-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISON",
        "middle_name": "ROBIN",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5235226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.