Elisa Joy Lewis Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0017936 Issued in CO

Practice address

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154

Phone

(970) 236-6317

NPI assigned

Jan 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1982243416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "970-236-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "970-236-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELISA",
        "middle_name": "JOY LEWIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.001735",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dustin Johnson, M.S., ED.S.
• Charles Timothy Johnson, M.D.
• David Clark Johnson, DDS, MS
• David William Johnson, D.C.
• Douglas William Johnson
• Estee Johnson, PT, DPT
• Heather Johnson, LMFT
• Heidi Johnson
• Jacqueline M Johnson, LPC
• Jane Louise Johnson, LCSW

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.