Active NPI
Lisa A Johnson, LCPC
- Professional Counselor
- Kalispell, MT
National Provider Identifier
1225568280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 24410
- Practice address
- 43 Woodland Park Dr Ste 5
Kalispell, MT 59901-4676 - Phone
- (406) 813-0441
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 24410 | MT | Primary |
Addresses
Primary practice location
43 Woodland Park Dr Ste 5
Kalispell, MT 59901-4676
Mailing address
PO Box 8506
Kalispell, MT 59904-1506
Phone (406) 212-7865
Other practice location 1
75 Claremont St Ste C
Kalispell, MT 59901-3500
Phone (406) 758-5155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
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 |
|---|---|---|---|
| 24410 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1225568280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8506",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599041506",
"telephone_number": "406-212-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 WOODLAND PARK DR STE 5",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014676",
"telephone_number": "406-813-0441"
}
],
"practiceLocations": [
{
"address_1": "75 Claremont St Ste C",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013500",
"country_code": "US",
"telephone_number": "406-758-5155",
"fax_number": "406-758-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LISA",
"middle_name": "A",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2023-11-27",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "24410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "75 Claremont St Ste C",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.