Nicole Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-7737 Issued in ID

Practice address

3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376

Phone

(208) 807-2877

Fax

(208) 807-2888

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oak and Ivy Therapy Services

  • Adult Mental Health Clinic/Center
  • Boise, ID
  • NPI 1245060888
  NPD Authorized official

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1265058283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 E FRANKLIN RD STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422376",
            "telephone_number": "208-807-2877",
            "fax_number": "208-807-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E FRANKLIN RD STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422376",
            "telephone_number": "208-807-2877",
            "fax_number": "208-807-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nicole@limitlesslifecounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure email",
            "address_1": "3071 E Franklin Rd Ste 201",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836422376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Marie Johnson, MD
• Lolettima Johnson, PHARM.D.
• Makaila Dawn Johnson, DPT
• Mark A Johnson, DO
• Mary Johnson, PT
• Rebecca Yvonne Johnson, LMSW
• Sarah Cheree Johnson, NP-C
• Scott Johnson
• Tamera Jean Johnson
• Taylor Johnson, PT, DPT

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.