Individual provider Active NPI

Christina Marie Johnson, LMHC, CADC

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1447798285
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
076372 Issued in IA
Practice address
6600 Westown Pkwy
Suite 240
West Des Moines, IA 50266-7707
Phone
(515) 402-4394
Fax
(515) 401-1086
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 076372 IA Primary

Addresses

Primary practice location

6600 Westown Pkwy
Suite 240
West Des Moines, IA 50266-7707

Mailing address

6600 Westown Pkwy
Suite 240
West Des Moines, IA 50266-7707

Other names 1

  • Ms. Crissi Marie Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
076372IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hemesath & Associates, LLC Past Accepting new patients

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1447798285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "SUITE 240",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "SUITE 240",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-402-4394",
            "fax_number": "515-401-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "076372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISSI",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMHC, CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.