Lisa Joanne Johnson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741

Phone

(719) 641-7240

NPI assigned

Dec 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Adventure Learning Behavioral Interventions

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1760080386
  NPD (past)

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1396251120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 VILLA CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 SPOKED WHEEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238741",
            "telephone_number": "719-641-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Erin Park Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183488",
            "country_code": "US",
            "telephone_number": "719-465-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE (HEALTHNET)",
            "identifier": "1437321189",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Johnson
• Leah Johnson, PA-C
• Lillian Johnson
• Lindsey Krening Johnson, MPAS, PA-C
• Lisa Ann Johnson, M.A., LPC, RPT
• Londynn Johnson
• Lucy Johnson
• Madalyn Johnson
• Maddie Johnson
• Marc Johnson

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.