Beth Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

154814 Issued in AK

Practice address

1075 S Check St Ste 110
Wasilla, AK 99654-8067

Phone

(907) 931-6928

Fax

(907) 931-7138

NPI assigned

Dec 28, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mountain Springs Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Wasilla, AK
  • NPI 1578132429
  NPD Authorized official

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1386980936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S CHECK ST STE 110",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548067",
            "telephone_number": "907-931-6928",
            "fax_number": "907-931-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S CHECK ST STE 110",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548067",
            "telephone_number": "907-931-6928",
            "fax_number": "907-931-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "154814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713243",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Oliver MD Inc
• Barbara Johnson-Tow, BSW CDC I
• Amanda Johnson
• Amber Johnson
• Ashley C Johnson, LMT
• Camille Machea Johnson
• Christopher Johnson
• Elizabeth Johnson
• Gerald Bruce Johnson
• Jaylee Dawn Johnson

• Professional Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.