Dawn Marie Johnson, COTA

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

29960 Issued in MN

Practice address

8530 Eagle Point Blvd Ste 245
Lake Elmo, MN 55042-8663

Phone

(952) 856-2212

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Brighton Hospice Minnesota, LLC

  • Community Based Hospice Care Agency
  • St Louis Park, MN
  • NPI 1891118931

  Hospice Care, Community Based

  NPD
• Brighton Home Health MN LLC

  • Home Health Agency
  • St Louis Park, MN
  • NPI 1114468642
  NPD (past)
• Jtcounselingservices

  • Mental Health Counselor
  • Flower Mound, TX
  • NPI 1063923043
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1285156240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 475",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165484",
            "telephone_number": "952-856-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 245",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428663",
            "telephone_number": "952-856-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202182",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "29960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&J Home Care, Inc.
• Roger A Jacobson, CRNA
• Kael Jensen, MA, BS, NBC-HWC, CMT
• Kelania Jimenez, MD
• Jimmy G. Anderson, D.C.
• Karen Marie Johnson
• Tim Johnson, M.S.W., LICSW & LMFT
• Hannah Kajer, LICSW
• Joshua A Kary, DC
• Kelli Schmitt Kester, LADC

• Community Based Hospice Care Agency in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.