Active NPI
Alan Ralph Johnson, LICSW LMFT
- Clinical Social Worker
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 530
- Practice address
- 1125 6TH Street SE
Woodland Centers
Willmar, MN 56201-4675 - Phone
- (320) 231-9148
- Fax
- (320) 231-9140
- NPI assigned
- Dec 6, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 530 | MN | Primary |
| Marriage & Family Therapist | 106H00000X | 193 | MN |
Addresses
Primary practice location
1125 6TH Street SE
Woodland Centers
Willmar, MN 56201-4675
Mailing address
2441 66TH Ave NE
Willmar, MN 56201
Phone (320) 235-4613
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013108 | Other | PREFERRED ONE | |
| 5220229 | Other | UBH | |
| 115374 | Other | UCARE | |
| 30025JO | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193 | MN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients |
Locations
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1427684612
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare - Rice Memorial Hospital
- Infusion Therapy Clinic/Center
- Willmar, MN
- NPI 1124657150
Hospital
-
dba CentraCare - Rice Memorial Hospital
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1841359023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 66TH AVE NE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-235-4613",
"fax_number": "320-231-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 6TH STREET SE",
"address_2": "WOODLAND CENTERS",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014675",
"telephone_number": "320-231-9148",
"fax_number": "320-231-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALAN",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "LICSW LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "530",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "193",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1013108",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "5220229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "115374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30025JO",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.