Michelle Annette Johnson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

270870 Issued in CO

Practice address

155 Panther Way
Woodland Park, CO 80863-3165

Phone

(719) 685-2460

NPI assigned

Aug 28, 2024

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1942034236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PANTHER WAY",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633165",
            "telephone_number": "719-685-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PANTHER WAY",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633165",
            "telephone_number": "719-685-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "ANNETTE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "270870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Lee James, M.D.
• Anna Lynn Jetton, PSY.D.
• JMJ III
• Audrey Johnsen, LCSW
• Holly Christine Johnson
• Michelle Denise Johnson, LPC
• Shannon K Johnson, LSW
• Sharron Lynn Johnson, MA
• Kayla Joiner, SWC
• Journeys Counseling Center, Inc.

• Speech-Language Pathologist in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.