Paula Jean Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3696 Issued in MN

Practice address

2025 Stearns Way Ste 111
Saint Cloud, MN 56303-1275

Phone

(320) 253-3540

Fax

(320) 253-1475

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Center for Family Counseling IncGroup PAC ID 9638075963, 9 clinicians

Practice addresses (Care Compare)

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.

• Center for Family Counseling Inc

  • Adult Mental Health Clinic/Center
  • St Cloud, MN
  • NPI 1588731327
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1447744701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-253-3540",
            "fax_number": "320-253-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-253-3540",
            "fax_number": "320-253-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN  - BOARD OF MARRIAGE AND FAMILY THERAPY",
            "identifier": "3696",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Lee Johnson, RN
• Molly J Johnson
• Nicole E Johnson, MS, CGC
• Nicolette R Johnson, LPCC; LADC/LMAC
• Olivia Grace Johnson
• Rachel Johnson, ATC
• Randall L Johnson, LMFT
• Raychael Marie Johnson
• Robin Lee Johnson, CNS
• Sarah Rose Johnson

• Marriage & Family Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.