Individual provider Active NPI

Amanda Tripp Johansson, PCLC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1790602332
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-PCLC-LIC-89083 Issued in MT
Practice address
715 Kensington Ave Ste 14
Missoula, MT 59801-5700
Phone
(970) 501-5226
NPI assigned
Jul 3, 2026
Last updated
Jul 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.