Individual provider Active NPI

Lexi Louise Alm Johnson, M.S. LMFT

  • Marriage & Family Therapist
  • Waite Park, MN
National Provider Identifier
1912542127
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3709 Issued in MN
Practice address
411 3Rd St N
Waite Park, MN 56387-1177
Phone
(320) 230-0672
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3709 MN Primary

Addresses

Primary practice location

411 3Rd St N
Waite Park, MN 56387-1177

Mailing address

411 3Rd St N
Waite Park, MN 56387-1177
Phone (320) 230-0611

Other names 1

  • Lexi Louise Alm Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507001730 MN Practitioner - Marriage and Family Therapist 2860833951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
3709MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Central Minnesota Mental Health Center CurrentSince Apr 24, 2024 Accepting new patients
Central Minnesota Mental Health Center CurrentSince Apr 24, 2024 Accepting new patients

Locations

308 12th Ave S
Buffalo, MN 55313
Phone (763) 682-4400

1321 13th St N
Saint Cloud, MN 56303
Phone (320) 252-5010

411 3rd St N
Waite Park, MN 56387
Phone (320) 202-2037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1912542127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 3RD ST N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871177",
            "telephone_number": "320-230-0611",
            "fax_number": "320-251-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 3RD ST N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871177",
            "telephone_number": "320-230-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEXI",
        "middle_name": "LOUISE ALM",
        "credential": "M.S. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEXI",
            "last_name": "ALM",
            "middle_name": "LOUISE",
            "credential": "M. S. LAMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.