Ellen Storm Johannsen, MS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0192981 Issued in NM

Practice address

6121 Indian School Rd NE Ste 141
Albuquerque, NM 87110-3176

Phone

(505) 888-1362

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Jane Storm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1720592298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-888-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 141",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-888-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "ELLEN",
        "middle_name": "STORM",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "0192981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "STORM",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asa Joe
• Joel S. Saland, M.D., P.a.
• Gary Michael Joffe, MD
• Sarah Joh, MD
• Pritpal Johal, DMD
• Garrett Johannsen, DDS
• Cheryl Lee Ann Johansen, LADAC
• Robert W. Johansen, D.D.S.
• Annika Johansson
• Trintje Johansson, DO

• Counseling Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.