Stephanie Ann Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000717 Issued in MN

Practice address

2822 W 43Rd St
Minneapolis, MN 55410-1696

Phone

(612) 251-6352

NPI assigned

Jan 29, 2018

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1922506518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 W 43RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101696",
            "telephone_number": "612-251-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W 43RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101696",
            "telephone_number": "612-251-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Suzanne Johnson, LICSW
• Shannon Lynn Johnson, RN
• Shelana M Johnson
• Spencer Allan Johnson, MD
• Steffanie A Johnson, LMFT
• Stephanie Diane Johnson, LGSW
• Susan Catherine Johnson
• Susan Marie Johnson, APRN, CNP
• Susan Mary Johnson, PT
• Suzanne Marie Johnson

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, 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 Jan 29, 2018; 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.