Erika Johnson, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY.0004996 Issued in CO

Practice address

1935 Dominion Way Ste 101
Colorado Springs, CO 80918-1464

Phone

(719) 423-7428

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erika Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindful Connections Mental Health, LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1760287411
  NPD Authorized official
• Mindful Connections Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1891242905

  Psychologist

  NPD Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1255884110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 CASUAL DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "720-402-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 DOMINION WAY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181464",
            "telephone_number": "719-423-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0013739",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "JOHNSON",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Effie Leigh Johnson
• Eileen Mary Johnson, NP
• Elary Violett Johnson, PA-C
• Eliza Johnson
• Elizabeth A Johnson, PHD
• Erin Johnson, M.A., BCBA
• Gene A Johnson, O.D.
• George P Johnson, MD
• Hallie Johnson, MA, LPC
• Haven Johnson

• Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.