Organization Active NPI

Johnson Counseling Services, LLC

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1689180598
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074946 Issued in IA
Legal business name
JOHNSON COUNSELING SERVICES, LLC
Practice address
700 16TH St NE Ste 205
Cedar Rapids, IA 52402-4665
Phone
(319) 382-4721
Fax
(319) 320-1211
NPI assigned
Dec 15, 2017
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Katie Johnson, LISWNPI 1538688213
Title
Founder, Therapist
Phone
(319) 382-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074946 IA Primary

Addresses

Primary practice location

700 16TH St NE Ste 205
Cedar Rapids, IA 52402-4665

Mailing address

700 16TH St NE Ste 205
Cedar Rapids, IA 52402-4665
Phone (319) 382-4721

Other practice location 1

4403 1st Ave SE Ste 314
Cedar Rapids, IA 52402-3221
Phone (319) 382-4721

Other identifiers 1

IdentifierTypeStateIssuer
1538688213MedicaidIA

National Provider Directory

National Provider Directory

Locations

4403 1st Ave SE
Ste 314
Cedar Rapids, IA 52402
Phone (319) 382-4721

700 16th St NE
Ste 205
Cedar Rapids, IA 52402
Phone (319) 382-4721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1689180598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 16TH ST NE STE 205",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024665",
            "telephone_number": "319-382-4721",
            "fax_number": "319-320-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 16TH ST NE STE 205",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024665",
            "telephone_number": "319-382-4721",
            "fax_number": "319-320-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 1st Ave SE Ste 314",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524023221",
            "country_code": "US",
            "telephone_number": "319-382-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "FOUNDER, THERAPIST",
        "authorized_official_telephone_number": "319-382-4721",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "074946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538688213",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.