Johanna Christine Matthews, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

70647 Issued in ID

Practice address

4853 W Gumwood Cir
Post Falls, ID 83854-8210

Phone

(208) 691-0287

Fax

(208) 457-4171

NPI assigned

Nov 17, 2021

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serene Integrative Services LLCGroup PAC ID 5395285365, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Serene Integrative Services, LLC

  • Multi-Specialty Clinic/Center
  • Post Falls, ID
  • NPI 1366122806
  Medicare reassignment Care Compare group NPD
• New Leaf Psychiatry & TMS, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Post Falls, ID
  • NPI 1720923469
  NPD Authorized official
• Imhealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1114599321

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1851058549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 W GUMWOOD CIR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548210",
            "telephone_number": "208-691-0287",
            "fax_number": "208-457-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4853 W GUMWOOD CIR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548210",
            "telephone_number": "208-691-0287",
            "fax_number": "208-457-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOHANNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "70647",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ID",
            "license": "46744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Martin
• Danko Martincic, MD
• Patrick Clark Marvil, MD
• Mary Jo White Dcpa
• Rianne Kainani Reiko Masuda, PHARMD
• Guy William McAninch, D.C.
• Douglass Barrett McArthur, DDS
• Laurie Nicole McBride, RD, LD
• Chad D McCormick, MD
• Ryan M McCrea, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.

Verify at the official NPI Registry.