Bonita Rae Johnson, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

997 Issued in MN

Practice address

7206 Forestview LN N # 210
Maple Grove, MN 55369-5581

Phone

(763) 201-1029

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1629399746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 INVERNESS TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431921",
            "telephone_number": "763-424-8866",
            "fax_number": "763-424-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 FORESTVIEW LN N # 210",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695581",
            "telephone_number": "763-201-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BONITA",
        "middle_name": "RAE",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Johansen
• Johnson Chiropractic Clinic of Maple Grove, Inc
• Alizandra Louise Johnson, LADC
• Anna Shkolnik Johnson, LICSW
• Barbara Johnson
• Bradley D Johnson, DO
• Catherine Nicole Breuer Johnson, LPCC
• Emily Lou Johnson, PA-C
• Geniyah Johnson
• Grace Johnson, LICSW

• Marriage & Family Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.