Madeline Baker Johnson, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2541 Issued in MN

Practice address

21000 Rogers Dr Ste 200
Rogers, MN 55374-4926

Phone

(763) 291-5505

Fax

(763) 657-0819

NPI assigned

Jul 20, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4 Counsel PAGroup PAC ID 3971044124, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• 4 Counsel, P.a.

  dba 4Counsel

  • Mental Health Counselor
  • Maple Grove, MN
  • NPI 1699202952
  Medicare reassignment Care Compare group NPD
• Maddie Johnson, LLC

  • Community/Behavioral Health Agency
  • Maple Grove, MN
  • NPI 1770236812
  NPD Authorized official
• Ellie Family Services, PLLP

  dba Ellie Mental Health

  • Community/Behavioral Health Agency
  • Maple Grove, MN
  • NPI 1770277279
  NPD
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1457969057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 MAIN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181133",
            "telephone_number": "847-525-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 ROGERS DR STE 200",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744926",
            "telephone_number": "763-291-5505",
            "fax_number": "763-657-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 Main St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554181133",
            "country_code": "US",
            "telephone_number": "847-525-8852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADELINE",
        "middle_name": "BAKER",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maddie@bridginghopecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "3659 Main St NE",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554181133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Integrative Geriatrics, PLLC
• Lynnsey Nicole Jepsen, D.C.
• Allison Johnson, MA LMFT
• Blair C Johnson, RPH
• Catherine Heen Johnson, PHARM D
• Mariah Jane Johnson, RDN, LD
• Johnston Chiropractic Clinic PA (Rogers Chiropractic Health)
• Michael Troy Johnston, DC
• Terri Lynn Jorstad, LMFT
• Brooklyn Kain

• Mental Health Counselor in Rogers, MN
• Providers in Rogers, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.