Individual provider Active NPI

Marilee Kay Johnson-Geary, LPC-MH,QMHP,LAC

  • Mental Health Counselor
  • Mitchell, SD
National Provider Identifier
1457457889
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2111 Issued in SD
Practice address
115 E Havens Ave
Ste 100
Mitchell, SD 57301-4462
Phone
(605) 999-6162
Fax
(605) 942-7300
NPI assigned
Sep 15, 2006
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06051267 SD
Mental Health Counselor 101YM0800X 2111 SD Primary

Addresses

Primary practice location

115 E Havens Ave
Ste 100
Mitchell, SD 57301-4462

Mailing address

1321 E 2ND Ave
Mitchell, SD 57301-3733
Phone (605) 999-6162

Other practice location 1

1321 E 2nd Ave
Mitchell, SD 57301-3733
Phone (605) 999-6162

Other names 1

  • Ms. Marilee Kay Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001856 SD Practitioner - Mental Health Counselor 5395184410 Practice locations: Mitchell, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E Havens Ave
Suite 100
Mitchell, SD 57301-4462
Phone (605) 999-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06051267SDMDAddiction (Substance Use Disorder) Counselor
2111SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marilee Johnson-Geary, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

115 E Havens Ave
Ste 100
Mitchell, SD 57301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1457457889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E 2ND AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013733",
            "telephone_number": "605-999-6162",
            "fax_number": "605-942-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HAVENS AVE",
            "address_2": "STE 100",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014462",
            "telephone_number": "605-999-6162",
            "fax_number": "605-942-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573013733",
            "country_code": "US",
            "telephone_number": "605-999-6162",
            "fax_number": "605-942-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-GEARY",
        "first_name": "MARILEE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC-MH,QMHP,LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "06051267",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILEE",
            "last_name": "JOHNSON",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "LPC-MH LAC QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.