Marjorie Lynn Johnson, MA CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5063 Issued in MN

Practice address

6701 Country Club Dr
Golden Valley, MN 55427-4602

Phone

(952) 993-2244

NPI assigned

May 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295948297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 AUTUMNWOOD LN",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053490",
            "telephone_number": "952-545-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 COUNTRY CLUB DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274602",
            "telephone_number": "952-993-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARJORIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance Macauley Johnson, DC
• Christopher Stewart Johnson, DCM, LAC
• Kaitlin Johnson
• Kristin Lee Johnson, PT, DPT, NCS
• Laurie Jean Johnson, OTR
• Shannon L. Johnson, OT
• Katrina Deane Reitz Joiner, PA-C
• Brian Jordan, DDS
• Joseph J. House Edd LP
• Joshua Jubril

• Speech-Language Pathologist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.