Individual provider Active NPI

Michelle Denise Johnson, LPC

  • Professional Counselor
  • Woodland Park, CO
National Provider Identifier
1245901131
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019806 Issued in CO
Practice address
400 W Midland Ave Ste 250
Woodland Park, CO 80863-5058
Phone
(719) 551-7299
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0018678 CO
Professional Counselor 101YP2500X LPC.0019806 CO Primary

Addresses

Primary practice location

400 W Midland Ave Ste 250
Woodland Park, CO 80863-5058

Mailing address

400 W Midland Ave Ste 250
Woodland Park, CO 80863-5058
Phone (719) 551-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241030000345 CO Practitioner - Mental Health Counselor 4082147095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Free YourselfGroup PAC ID 1658811823, 2 clinicians

Practice addresses (Care Compare)

4140 Tejon St
Denver, CO 80211-1813
Phone (720) 319-7893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018678COMDCounselor
LPC.0019806COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Free Yourself LLC CurrentSince May 29, 2025 Accepting new patients

Locations

4140 Tejon St
Denver, CO 80211
Phone (720) 319-7893

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1245901131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 250",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808635058",
            "telephone_number": "719-551-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 250",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808635058",
            "telephone_number": "719-551-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0018678",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.