Individual provider Active NPI

Mitchell Johnson

  • Professional Counselor
  • Greeley, CO
National Provider Identifier
1467169086
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019148 Issued in CO
Practice address
2253 75TH Ave
Greeley, CO 80634-7406
Phone
(970) 400-7370
NPI assigned
Nov 2, 2022
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC.0019148 CO
Mental Health Counselor 101YM0800X MHC-926 HI
Professional Counselor 101YP2500X LPC.0019148 CO Primary

Addresses

Primary practice location

2253 75TH Ave
Greeley, CO 80634-7406

Mailing address

5720 Big Canyon Dr
Fort Collins, CO 80528-6905
Phone (303) 514-6665

Other practice location 1

200 N Vineyard Blvd Ste A330
Honolulu, HI 96817-3950
Phone (303) 514-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC-926HIMDMental Health Counselor
LPC.0019148COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Counseling Services Professional Current Accepting new patients
Sandal Gap Comprehensive Services Mental Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

200 N Vineyard Blvd
Ste A330
Honolulu, HI 96817
Phone (808) 490-1668

Organizations & group practices 2

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1467169086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BIG CANYON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286905",
            "telephone_number": "303-514-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 75TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347406",
            "telephone_number": "970-400-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Vineyard Blvd Ste A330",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173950",
            "country_code": "US",
            "telephone_number": "303-514-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "LPC.0019148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-926",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.