Active NPI
Lynn E Johnson, LCSW
- Social Worker
- Baker City, OR
National Provider Identifier
1528101573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L2571
- Practice address
- 2101 Main St
Suite 204
Baker City, OR 97814-2621 - Phone
- (541) 524-0800
- Fax
- (541) 524-0800
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L2571 | OR | Primary |
Addresses
Primary practice location
2101 Main St
Suite 204
Baker City, OR 97814-2621
Mailing address
PO Box 1298
The Dalles, OR 97058-9298
Phone (509) 493-1467
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YA60301 | Other | OR | PACIFIC SOURCE |
| 808073000 | Other | OR | REGENCE BCBSO |
| 278888 | Other | OR | MANAGED HEALTH NETWORK |
| 105997 | Other | OR | VALUE OPTIONS |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2571 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling Services, LLC | Social Worker | Past | Accepting new patients |
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.
-
- Social Worker
- Baker City, OR
- NPI 1548317134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528101573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1298",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970589298",
"telephone_number": "509-493-1467",
"fax_number": "509-493-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MAIN ST",
"address_2": "SUITE 204",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978142621",
"telephone_number": "541-524-0800",
"fax_number": "541-524-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LYNN",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L2571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "YA60301",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBSO",
"identifier": "808073000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "278888",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "105997",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.