Tim Johnson, M.S.W., LICSW & LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

157 Issued in MN

Practice address

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Phone

(651) 379-0444

Fax

(651) 379-0448

NPI assigned

Oct 20, 2005

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bachmann and Associates, Inc

  dba Counseling Care

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Elmo, MN
  • NPI 1144210899
  NPD
• Bachmann and Associates, Inc. Dba Counseling Care

  dba Counseling Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Elmo, MN
  • NPI 1538158506
  NPD

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1154310126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444",
            "fax_number": "651-379-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444",
            "fax_number": "651-379-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIM",
        "credential": "M.S.W., LICSW & LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "409",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS ID#",
            "identifier": "HP45669",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP/FAIRVIEW ID#",
            "identifier": "102218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UBH ID#",
            "identifier": "62-13403",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID#",
            "identifier": "69599",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN/AETNA",
            "identifier": "O95457000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "247927",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181557200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "563T1JO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kael Jensen, MA, BS, NBC-HWC, CMT
• Kelania Jimenez, MD
• Jimmy G. Anderson, D.C.
• Dawn Marie Johnson, COTA
• Karen Marie Johnson
• Hannah Kajer, LICSW
• Joshua A Kary, DC
• Kelli Schmitt Kester, LADC
• Grace Lillian Kilgore, LGSW
• Andrew Klotz, MA

• Marriage & Family Therapist in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.