Active NPI
Michele Johnson, MA, TEMP LMHC, CADC
- Mental Health Counselor
- Ankeny, IA
National Provider Identifier
1477984086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 073865
- Practice address
- 501 SW Ankeny Rd
Ankeny, IA 50023-9702 - Phone
- (515) 289-2272
- Fax
- (515) 289-0126
- NPI assigned
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 073865 | IA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14021 | IA |
Addresses
Primary practice location
501 SW Ankeny Rd
Ankeny, IA 50023-9702
Mailing address
501 SW Ankeny Rd
Ankeny, IA 50023-9702
Phone (515) 289-2272
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14021 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 073865 | IA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1477984086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239702",
"telephone_number": "515-289-2272",
"fax_number": "515-289-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239702",
"telephone_number": "515-289-2272",
"fax_number": "515-289-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHELE",
"credential": "MA, TEMP LMHC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "073865",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "14021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.