Cheri Lynn Johansen, LMSW, MAC, QAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

103526 Issued in AK

Practice address

6000 Kanakanak Road
Dillingham, AK 99576

Phone

(907) 842-5266

Fax

(907) 842-5174

NPI assigned

Jul 30, 2012

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anirturvik Treatment Services

  • Health Service Clinic/Center
  • Wasilla, AK
  • NPI 1982328449
  NPD Authorized official

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1538415336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 130",
            "address_2": "6000 KANAKANAK ROAD",
            "city": "BILLINGHAM",
            "state": "AK",
            "postal_code": "99576",
            "telephone_number": "907-842-5266",
            "fax_number": "907-842-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 KANAKANAK ROAD",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "99576",
            "telephone_number": "907-842-5266",
            "fax_number": "907-842-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "credential": "LMSW, MAC, QAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "103526",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "103526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Horstman, OD
• Rhonda M Hurley
• Catherine Jeanne Hyndman, MD
• Jeremy W Jeffries, CHA
• Nancy J. Jensen
• Lucille D Johnson, MSW
• Rebecca Inez Johnson, A.N.P
• Ronna Lee Johnson
• Sharon Johnson, DHAT
• Joan Lucienne Junge, ANP CNM

• Mental Health Counselor in Dillingham, AK
• Providers in Dillingham, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.