Active NPI
Meghann Elizabeth Johnson
- Mental Health Counselor
- Kellog, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-35318 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Wellness, LLC | Community/Behavioral Health | Current | Accepting new patients |
| Shoshone Medical Center | Current | Accepting new patients | |
| Loving Care and More, Inc. | Current | Accepting new patients | |
| Shoshone Medical Center | Current | 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
- 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.
-
- Home Health Agency
- Silverton, ID
- NPI 1356498521
-
- Community/Behavioral Health Agency
- Kellogg, ID
- NPI 1669283545
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
- Rural Health Clinic/Center
- Smelterville, ID
- NPI 1487272399
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.