Eric Michael Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9766 Fallon Ave NE Ste 201
Monticello, MN 55362-4589

Phone

(763) 732-3351

NPI assigned

Mar 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Healing Moments Counseling LLC

  • Community/Behavioral Health Agency
  • Monticello, MN
  • NPI 1043505373
  NPD (past)

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1912409129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 41ST PL NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763068",
            "telephone_number": "763-443-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9766 FALLON AVE NE STE 201",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624589",
            "telephone_number": "763-732-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-03",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Sorelly Jaramillo
• JD Outdoor Services LLC
• Julia Jean Jerome
• Jenifer Elizabeth John, MA LMFT LICSW
• Brent Johnson, DPT
• Janene Johnson, OTR/L
• Jonas Johnson, DC
• Lance Johnson, LPCC
• Susan L Johnson, MD
• William Eric Johnson

• Mental Health Counselor in Monticello, MN
• Providers in Monticello, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.