Individual provider Active NPI

Sheila Jo Ohnstad Johnson, LMFT, CSAC

  • Marriage & Family Therapist
  • Verona, WI
National Provider Identifier
1194012518
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
200 W Verona Ave
Verona, WI 53593-1394
Phone
(608) 354-2397
Fax
(608) 387-8365
NPI assigned
Jul 6, 2011
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15689-131 WI
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

200 W Verona Ave
Verona, WI 53593-1394

Mailing address

200 W Verona Ave
Verona, WI 53593-1394
Phone (608) 354-2397

Other names 1

  • Sheila Jo Ohnstad Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15689-131WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Path Psychotherapy CurrentSince Feb 19, 2023 Accepting new patients
Oceanhawk Counseling Alternatives LLC Addiction (Substance Use Disorder) PastSince Oct 31, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1194012518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-354-2397",
            "fax_number": "608-387-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-354-2397",
            "fax_number": "608-387-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHNSTAD JOHNSON",
        "first_name": "SHEILA",
        "middle_name": "JO",
        "credential": "LMFT, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15689-131",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "OHNSTAD JOHNSON",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.