James Paul Johnson Jr., LADC, NCAC II SAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301697 Issued in MN

Practice address

1530 Bellows St Apt 111
West Saint Paul, MN 55118-3342

Phone

(507) 382-2584

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

Yes

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

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.

• Hope Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • W Saint Paul, MN
  • NPI 1225761992
  NPD Authorized official

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1336556349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BELLOWS ST APT 111",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183342",
            "telephone_number": "507-382-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BELLOWS ST APT 111",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183342",
            "telephone_number": "507-382-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LADC, NCAC II SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2022-04-20",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Honish, MD
• Imi'S MN Inc
• Maura Clement Jacobi, MD
• Jennifer L Jacoby LLC
• James Douglas Johnson
• William Sterling Johnston, DDS
• Julie Joloka
• Chris Keck-Cardona, M.D.
• Lauren Lee Ketchmark, PHARMD
• Patrick Q Knoedler, MD

• Addiction (Substance Use Disorder) Counselor in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.