Individual provider Active NPI

Karen Schwoebel Johnson, MS

  • Marriage & Family Therapist
  • Superior, WI
National Provider Identifier
1548283047
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1790 Issued in MN
Practice address
2202 Hughitt Ave
Superior, WI 54880
Phone
(218) 341-9485
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 1790 MN Primary

Addresses

Primary practice location

2202 Hughitt Ave
Superior, WI 54880

Mailing address

2202 Hughitt Ave
Superior, WI 54880-4919
Phone (218) 341-9485

Other practice location 1

1406 E 2nd St
Duluth, MN 55805-2378
Phone (218) 624-5683

Other identifiers 1

IdentifierTypeStateIssuer
40979600MedicaidWI

Other names 1

  • Karen Schwoebel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205002439 WI Practitioner - Clinical Social Worker 9830625409 Practice locations: Superior, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1507 Tower Ave
Suite 210
Superior, WI 54880-2554
Phone (218) 341-9485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1790MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brightwater Health Dba Human Development Center PastSince Nov 27, 2011 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1548283047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 HUGHITT AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804919",
            "telephone_number": "218-341-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HUGHITT AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "54880",
            "telephone_number": "218-341-9485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052378",
            "country_code": "US",
            "telephone_number": "218-624-5683",
            "fax_number": "218-624-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAREN",
        "middle_name": "SCHWOEBEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40979600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCHWOEBEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Superior, WI

Sources for this page

Verify at the official NPI Registry.