Katrina M. Johnson, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATRINA M. JOHNSON, LLC

Practice address

106 Passive Sun Drive
Soldiers Grove, WI 54655

Phone

(608) 553-0279

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Katrina Johnson, LCSW

Title

Therapist

Phone

(608) 553-0279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1275164709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546550145",
            "telephone_number": "608-553-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PASSIVE SUN DRIVE",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "54655",
            "telephone_number": "608-553-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA M. JOHNSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "608-553-0279",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Ann Fortney, RDH, RN
• Jordan Lee Gordon
• Shari M Graham Curry, COTA
• Ashley Lynne Hagen, MS, ATC, LAT
• Sue Ellen Johnson
• Beth S Laxton, PT
• Sara L Mand, RN
• North Crawford Rescue Squad, Inc.
• North Crawford School District
• NSH Soldiers Grove LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Soldiers Grove, WI
• Providers in Soldiers Grove, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.