Active NPI
Janet Michelle Johnston, LCSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1720110562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2846
- Practice address
- 1111 S 119TH St
Omaha, NE 68144-1601 - Phone
- (402) 871-1002
- Fax
- (402) 991-7445
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2846 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 1146 | NE |
Addresses
Primary practice location
1111 S 119TH St
Omaha, NE 68144-1601
Mailing address
1111 S 119TH St
Omaha, NE 68144-1601
Phone (402) 871-1002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82003 | Other | NE | BLUE CROSS BLUE SHIELD |
| 100253396-00 | Medicaid | NE | |
| 240598 | Other | NE | MIDLANDS CHOICE |
Other names 1
- Janet Michelle Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1146 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720110562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S 119TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441601",
"telephone_number": "402-871-1002",
"fax_number": "402-991-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S 119TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441601",
"telephone_number": "402-871-1002",
"fax_number": "402-991-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JANET",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2846",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1146",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82003",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253396-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "240598",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "ANDERSON",
"middle_name": "MICHELLE",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.