Ellen M Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2589 Issued in NV

Practice address

40 E Center St Ste 12
Fallon, NV 89406-3474

Phone

(775) 432-7995

Fax

(775) 420-4408

NPI assigned

Jan 12, 2014

Last updated

Apr 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ejohnson@fthc.directbygreenway.com

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.

• Churchill Council on Alcohol & Other Drugs

  dba New Frontier

  • Community/Behavioral Health Agency
  • Fallon, NV
  • NPI 1346788411
  NPD (past)
• Churchill Council on Alcohol & Other Drugs

  dba New Frontier Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Fallon, NV
  • NPI 1578764361
  NPD (past)

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1619399532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894070104",
            "telephone_number": "775-432-7995",
            "fax_number": "775-420-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E CENTER ST STE 12",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063474",
            "telephone_number": "775-432-7995",
            "fax_number": "775-420-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-12",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00530-LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING COUNSELORS",
            "identifier": "00530-LC",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA BOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS  & CPC",
            "identifier": "2589",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J. Jardine, LCSW
• Marissa Jayne
• Brian Peter Jensen, OD
• John Hung MD PLLC
• Debbie Johnson
• Victoria Johnson
• Melissa Schneider Jones, D.D.S.
• Suzanne Marie Jones, RN
• Vicki Jones, LCSW, CADC-I
• Linda K Jorgensen, RPH

• Marriage & Family Therapist in Fallon, NV
• Providers in Fallon, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.