Jan Johnson

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JAN JOHNSON

Doing business as

First Step Walker

Practice address

211 6TH St
Walker, MN 56484-0955

Phone

(218) 541-1100

Fax

(218) 547-1120

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan J Johnson, LADC

Title

Executive Director

Phone

(218) 682-2991

Specialties & licenses 1

Addresses

Other names 1

• First Step Walker Doing business as

Tax ID family

First Step4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• First Step

  • Children's Substance Abuse Rehabilitation Facility
  • Backus, MN
  • NPI 1437488533
  NPD tax ID
• Jan Johnson

  dba First Step

  • Addiction (Substance Use Disorder) Counselor
  • Staples, MN
  • NPI 1093920951
  NPD tax ID
• Next Step

  • Children's Substance Abuse Rehabilitation Facility
  • Staples, MN
  • NPI 1700959939
  NPD tax ID

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1902055668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "564840955",
            "telephone_number": "218-541-1100",
            "fax_number": "218-547-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 6TH ST",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "564840955",
            "telephone_number": "218-541-1100",
            "fax_number": "218-547-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-682-2991",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step Walker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Gunderson, PHARM D, MBA
• Thomas P Haas, MD
• Haylee Jayne Hatteberg, PHARMD
• Laura Hilde, PHARM.D.
• Jennifer Jackson, RN, BSN, LSN
• Jeanette Ann Jochum-Lindstrom, MS, LPCC, NCC
• Kaubisch Chiropractic, Inc.
• Gus Vernon Kaubisch Jr., D.C.
• Thomas Grant Krumme, M.D.
• Lakes Opioid Treatment Program, Inc

• Substance Abuse Rehabilitation Facility in Walker, MN
• Providers in Walker, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.