Individual provider Active NPI

Julie A Johnson

  • Counselor
  • Tonasket, WA
National Provider Identifier
1356919476
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SC60988170 Issued in WA
Practice address
203 S Western Ave
Tonasket, WA 98855-8803
Phone
(509) 486-2151
Fax
(509) 486-3176
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Counselor 101Y00000X SC60988170 WA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

203 S Western Ave
Tonasket, WA 98855-8803

Mailing address

203 S. Western Ave
C/O: Credentialing
Tonasket, WA 98855-2629
Phone (509) 486-3144

Other practice location 1

118 S Whitcomb Ave
Tonasket, WA 98855-9287
Phone (509) 486-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60988170WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 3, 2023 Accepting new patients

Locations

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1356919476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S. WESTERN AVE",
            "address_2": "C/O: CREDENTIALING",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988552629",
            "telephone_number": "509-486-3144",
            "fax_number": "509-486-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WESTERN AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988558803",
            "telephone_number": "509-486-2151",
            "fax_number": "509-486-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Whitcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988559287",
            "country_code": "US",
            "telephone_number": "509-486-3191",
            "fax_number": "509-486-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60988170",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonasket, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.