Leif Brynolf Johnson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5002627 Issued in NC

Practice address

50 Reddick Rd
Asheville, NC 28805-2717

Phone

(828) 298-0186

Fax

(828) 298-4870

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Leif Brynolf Johnson Other name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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.

• The Pisgah Institute for Psychotherapy & Education, P.a.

  • Psychologist
  • Asheville, NC
  • NPI 1871507038
  Medicare reassignment NPD
• The Pisgah Institute for Psychotherapy & Education, P.a.

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1700802600
  NPD
• Extended Care Physicians - Mountain, PA

  dba ECP North Carolina, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Asheville, NC
  • NPI 1104823087

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1346447190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011079",
            "telephone_number": "828-254-9494",
            "fax_number": "828-298-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 REDDICK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052717",
            "telephone_number": "828-298-0186",
            "fax_number": "828-298-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEIF",
        "middle_name": "BRYNOLF",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "213163",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5002627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIF",
            "last_name": "JOHNSON",
            "middle_name": "BRYNOLF",
            "prefix": "MR.",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Johnson, MOT, OTR/L
• Koren Johnson
• Kristine Erica Johnson, M.D.
• Krystal Kay Kay Johnson, RN, BSN
• Leanne Michelle Johnson, NP
• Luke Johnson, DO
• Maggie Johnson, PH.D.
• Martha Dean Johnson, OTR/L
• Martin Daniel Johnson
• Mary Jane Johnson, RD

• Psychiatric/Mental Health Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.