Active NPI
Amy Lou Johnson, MT-BC
- Music Therapist
- Appleton, WI
National Provider Identifier
1144740390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 07148
- Practice address
- 245 N Metro Dr
Appleton, WI 54913-8572 - Phone
- (920) 284-0891
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 07148 | WI | Primary |
Addresses
Primary practice location
245 N Metro Dr
Appleton, WI 54913-8572
Mailing address
245 N Metro Dr
Appleton, WI 54913-8572
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07148 | WI | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seed Inc | Past | Accepting new patients | |
| Expressive Therapies LLC | Music Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Appleton, WI
- NPI 1306489372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1144740390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N METRO DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N METRO DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138572",
"telephone_number": "920-284-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMY",
"middle_name": "LOU",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "WI",
"license": "07148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.