Organization Active NPI

Johnson Psychotherapy, LLC

  • Clinical Social Worker
  • Ashland, WI
National Provider Identifier
1689455735
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOHNSON PSYCHOTHERAPY, LLC
Practice address
308 9TH Ave W Ste 1
Ashland, WI 54806-1321
Phone
(715) 575-4322
Fax
(855) 702-1966
NPI assigned
Oct 13, 2023
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Scott Johnson, LCSWNPI 1255698205
Title
Psychotherapist/Owner
Phone
(715) 575-4322

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

308 9TH Ave W Ste 1
Ashland, WI 54806-1321

Mailing address

PO Box 631
Ashland, WI 54806-0631
Phone (715) 575-4322

Other practice location 1

101 Main St W Ste 205
Ashland, WI 54806-1668
Phone (715) 575-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325003015 WI Part B Supplier - Clinic/Group Practice 7911344098 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, WI

National Provider Directory

National Provider Directory

Locations

1411 Ellis Ave
Rm 135
Ashland, WI 54806
Phone (715) 575-4322

308 9th Ave W
Ste 1
Ashland, WI 54806
Phone (715) 575-4322

502 Main St W
Ste 303
Ashland, WI 54806
Phone (715) 575-4322

Practitioners & affiliated clinicians

Practitioners 2

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": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1689455735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548060631",
            "telephone_number": "715-575-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 9TH AVE W STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061321",
            "telephone_number": "715-575-4322",
            "fax_number": "855-702-1966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Main St W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548061668",
            "country_code": "US",
            "telephone_number": "715-575-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "715-575-4322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.