Active NPI
Julie A Johnson
- Counselor
- Tonasket, WA
National Provider Identifier
1356919476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SC60988170
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC60988170 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan County Public Hospital Dist No 4 | Current | 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.
-
- Rural Health Clinic/Center
- Tonasket, WA
- NPI 1811555931
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.