Alexander Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9406148-3501 Issued in UT

Practice address

3549 N University Ave Ste 325
Provo, UT 84604-6693

Phone

(801) 609-8421

NPI assigned

Nov 23, 2016

Sex

Male

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

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cove Counseling

  • Clinical Social Worker
  • Provo, UT
  • NPI 1780353755
  Medicare reassignment NPD Authorized official
• Aeworkman, Inc

  • Mental Health Counselor
  • Provo, UT
  • NPI 1891419149
  Medicare reassignment NPD
• Quell Counseling

  • Mental Health Counselor
  • Provo, UT
  • NPI 1649122110
  NPD

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1649713637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 N UNIVERSITY AVE STE 325",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046693",
            "telephone_number": "801-609-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 N UNIVERSITY AVE STE 325",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046693",
            "telephone_number": "801-609-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9406148-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Terry Johansen
• Cassidy John, CCC-SLP
• Adam Michael Johnson, LMFT
• Adriana Johnson
• Aiofaiva Seufale Johnson
• Allen C Johnson, MD
• Allyson Webster Johnson
• Amber Gail Johnson, HSW
• Andrew E Johnson, DDS
• Ashlee Kate Johnson

• Clinical Social Worker in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.