Individual provider Active NPI

Paula B Johnson, MS, LMHC

  • Mental Health Counselor
  • Issaquah, WA
National Provider Identifier
1750409116
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006224 Issued in WA
Practice address
75 NW Dogwood St Ste B
Issaquah, WA 98027-3258
Phone
(425) 269-3277
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006224 WA Primary

Addresses

Primary practice location

75 NW Dogwood St Ste B
Issaquah, WA 98027-3258

Mailing address

75 NW Dogwood St Ste B
Issaquah, WA 98027-3258
Phone (425) 269-3277

Other practice location 1

22717 SE 29th St Ste D-101
Sammamish, WA 98075-9532
Phone (425) 269-3277

Other identifiers 1

IdentifierTypeStateIssuer
602388286OtherWAUBI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH00006224WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Mind Counseling Services, PLLC Mental Health CurrentSince Dec 22, 2020 Accepting new patients
Centered Connections, PLLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

75 NW Dogwood St
Ste B
Issaquah, WA 98027
Phone (425) 269-3277

22717 SE 29th St
Ste D101
Sammamish, WA 98075
Phone (425) 269-3277

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1750409116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NW DOGWOOD ST STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273258",
            "telephone_number": "425-269-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NW DOGWOOD ST STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273258",
            "telephone_number": "425-269-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22717 SE 29th St Ste D-101",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980759532",
            "country_code": "US",
            "telephone_number": "425-269-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "middle_name": "B",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602388286",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.