Michael Charles Matthias Johnson, LMHC-T

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097656 Issued in IA

Practice address

1030 5TH Ave SE Ste 3000
Cedar Rapids, IA 52403-2416

Phone

(319) 286-4545

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1467009753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE STE 3000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032416",
            "telephone_number": "319-286-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE STE 3000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032416",
            "telephone_number": "319-286-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES MATTHIAS",
        "credential": "LMHC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "097656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Johnson
• Kathy Johnson, LMSW
• Katie Johnson, LISW
• Kristin Ann Johnson, PT
• Lisa S Johnson, ARNP
• Michael J Johnson
• Michelle Johnson, DDS
• Nicole Pfab Johnson, RD, LD
• Remi Johnson, LMSW
• Sarah Jane Johnson, DPT

• Mental Health Counselor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.