Karliann K Johnson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

692-7-15-11-242 Issued in ND

Practice address

1704 Belsly Blvd
Moorhead, MN 56560-5274

Phone

(218) 233-8068

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrive Behavioral Network III, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Moorhead, MN
  • NPI 1073739496
  NPD (past)
• Thrive Behavioral Network III, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Moorhead, MN
  • NPI 1548896277
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1174802318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 36TH AVE E",
            "address_2": "#211",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787922",
            "telephone_number": "218-831-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 BELSLY BLVD",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605274",
            "telephone_number": "218-233-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARLIANN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "692-7-15-11-242",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Johnson
• Bria Johnson
• Jane Johnson
• Julie Michele Johnson, MS CCC-SLP
• Karen A Johnson, LMFT
• Kent Johnson
• McKenzie Johnson
• Mel Johnson
• Natasha Johnson
• Taylor Paige Johnson, LICSW

• Mental Health Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.