Cole Robert Johnson, LMHC, MHP, CMHS
Individual provider Active NPI Mental Health Counselor · Elma, WA
NPI 1962931139 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1962931139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60651109 (WA)
- Practice address
- 575 E Main Street
Elma, WA 98541 - Phone
- (360) 482-5358
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60651109 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Resources | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60651109 | WA | Yes |
Addresses
Primary practice location
575 E Main Street
Elma, WA 98541
Mailing address
3857 Martin Way E
Olympia, WA 98506
Phone (360) 482-5358
Other providers in Elma, WA
- Huttula Enterprises Inc
- Huttula Enterprises Inc
- Huttula Enterprises Inc
- Michael Thomas Huttula
- Meridith Erin Johnson-Koontz
- Jessica Renae Jurasin
- Deepinderjeet Kaur
- Christian R Koehler
- Joseph Hans Kohn
- Kolpak Counseling
All providers in Elma, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.