Active NPI
Amanda Tripp Johansson, PCLC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1790602332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-PCLC-LIC-89083
- Practice address
- 715 Kensington Ave Ste 14
Missoula, MT 59801-5700 - Phone
- (970) 501-5226
- NPI assigned
- Jul 3, 2026
- Last updated
- Jul 4, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | BBH-PCLC-LIC-89083 | MT | |
| Mental Health Counselor | 101YM0800X | BBH-PCLC-LIC-89083 | MT | |
| Professional Counselor | 101YP2500X | BBH-PCLC-LIC-89083 | MT | Primary |
Addresses
Primary practice location
715 Kensington Ave Ste 14
Missoula, MT 59801-5700
Mailing address
429 Whitewater LN
Alberton, MT 59820-8514
Phone (970) 501-5226
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1790602332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 WHITEWATER LN",
"city": "ALBERTON",
"state": "MT",
"postal_code": "598208514",
"telephone_number": "970-501-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 KENSINGTON AVE STE 14",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015700",
"telephone_number": "970-501-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSSON",
"first_name": "AMANDA",
"middle_name": "TRIPP",
"credential": "PCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-03",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "BBH-PCLC-LIC-89083",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-PCLC-LIC-89083",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "BBH-PCLC-LIC-89083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.