Stephanie a Johnson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STEPHANIE A JOHNSON

Practice address

3550 Lexington Ave N Ste 207
Shoreview, MN 55126-8136

Phone

(651) 354-1443

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Johnson

Title

Owner

Phone

(651) 354-1443

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Johnson Therapy Services Doing business as

Locations

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1164057147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N STE 207",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N STE 207",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268136",
            "telephone_number": "651-354-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE A JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-354-1443"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Johnson Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sourcepoint Chiropractic and Wellness Center, LLC
• Jaime Marie Spencer, RN
• Rita C Stanoch, LP
• Stacey Stark
• Steffen Chiropractic Center, PC
• John Alan Stoltzfus, PH.D.
• Jaclyn Rose Suchy
• Lori Swanson Nebel, CMT
• Peter V. Swenson, D.D.S.
• Michelle Lynn Hovey Swerin, LPCC

• Community/Behavioral Health Agency in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.