Individual provider Active NPI

Meghann Elizabeth Johnson

  • Mental Health Counselor
  • Kellog, ID
National Provider Identifier
1245525971
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
123 McKinley Avenue
Kellog, ID 83837
Phone
(208) 208-0115
Fax
(208) 208-0115
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-35318 ID
Clinical Social Worker 1041C0700X LCSW-35318 ID
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

123 McKinley Avenue
Kellog, ID 83837

Mailing address

221 Hill Street
PO Box 1172
Osburn, ID 83849
Phone (208) 512-2522

Other names 1

  • Meghann Elizabeth Edmunds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001697 ID Practitioner - Clinical Social Worker 4789983495 Reassigns benefits to 1 organization
Practice locations: Kellogg, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoshone Medical CenterGroup PAC ID 6103739107, shared by 2 NPIs, 15 clinicians

Practice addresses (Care Compare)

123 McKinley Ave
Kellogg, ID 83837-2501
Phone (208) 512-2522

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1227

858 E Commerce Dr
Smelterville, ID 83868
Phone (208) 784-4612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-35318IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Wellness, LLC Community/Behavioral Health CurrentSince Jan 19, 2025 Accepting new patients
Shoshone Medical Center CurrentSince Oct 26, 2019 Accepting new patients
Loving Care and More, Inc. CurrentSince Mar 20, 2016 Accepting new patients
Shoshone Medical Center CurrentSince Oct 26, 2019 Accepting new patients

Locations

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

123 McKinley Ave
Kellogg, ID 83837
Phone (206) 486-6239

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1245525971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HILL STREET",
            "address_2": "PO BOX 1172",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "83849",
            "telephone_number": "208-512-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MCKINLEY AVENUE",
            "city": "KELLOG",
            "state": "ID",
            "postal_code": "83837",
            "telephone_number": "208-208-0115",
            "fax_number": "208-208-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGHANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-35318",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35318",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHANN",
            "last_name": "EDMUNDS",
            "middle_name": "ELIZABETH",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kellog, ID

Sources for this page

Verify at the official NPI Registry.