Elizabeth Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1253-124 Issued in WI

Practice address

18000 W Sarah LN Ste 210
Brookfield, WI 53045-5840

Phone

(262) 267-8699

NPI assigned

May 20, 2020

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

• Elizabeth Manderfeld Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

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.

• Munawar LLC

  dba Nurtured Roots Counseling

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1689444028

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1285257683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 ELMWOOD RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531221921",
            "telephone_number": "651-343-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W SARAH LN STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455840",
            "telephone_number": "262-267-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12970 W Bluemound Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222607",
            "country_code": "US",
            "telephone_number": "262-780-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 N 60th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532081641",
            "country_code": "US",
            "telephone_number": "414-771-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1253-124",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pimsy",
            "affiliation": "N",
            "address_1": "12970 W Bluemound Rd Ste 200",
            "city": "Elm Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531222607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MANDERFELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John P Johanek, PT
• John J. Vondrell, M.D., S.C.
• John K. Hur, M.D., S.C
• Angela Marie Johnson, LPC
• Devin James Johnson
• Grace Johnson
• Johnique Johnson
• Kenya C Johnson
• Khasema Johnson
• Lisa Ann Johnson, LCSW

• Marriage & Family Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.