Individual provider Active NPI

Joelle Johnson

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1831582626
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-11613 Issued in MT
Practice address
3240 Dredge Dr
Helena, MT 59602-0548
Phone
(406) 442-7920
Fax
(406) 442-7949
NPI assigned
Mar 18, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC-1068 MT
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-11613 MT Primary

Addresses

Primary practice location

3240 Dredge Dr
Helena, MT 59602-0548

Mailing address

PO Box 139
Helena, MT 59624-0139
Phone (406) 442-7920

Other identifiers 2

IdentifierTypeStateIssuer
LAC-LAC-LIC-1068OtherMTSTATE LICENSE
SWP-LCSW-LIC-11613OtherMTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004000926 MT Practitioner - Clinical Social Worker 5991236630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Helena Indian Alliance IncGroup PAC ID 4486793940, 9 clinicians

Practice addresses (Care Compare)

501 Euclid Ave
Helena, MT 59601-2865
Phone 4064429244109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-LAC-LIC-1068MTMDAddiction (Substance Use Disorder) Counselor
SWP-LCSW-LIC-11613MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helena Indian Alliance Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

501 Euclid Ave
Helena, MT 59601
Phone (406) 442-9244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAGDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1831582626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596240139",
            "telephone_number": "406-442-7920",
            "fax_number": "406-442-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 DREDGE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020548",
            "telephone_number": "406-442-7920",
            "fax_number": "406-442-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-1068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-11613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LAC-LAC-LIC-1068",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SWP-LCSW-LIC-11613",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.