Mary Ellen Johnson, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004806 Issued in WA

Practice address

204 6TH Ave SW
Puyallup, WA 98371-5880

Phone

(253) 840-9743

Fax

(253) 840-9743

NPI assigned

Feb 6, 2007

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982744553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054457",
            "telephone_number": "253-840-9743",
            "fax_number": "253-840-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 6TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715880",
            "telephone_number": "253-840-9743",
            "fax_number": "253-840-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY ELLEN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004806",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kay Johnson, RDN, LMCHA, CEDS, CD
• Laura Dae Johnson, BS
• Lynda M Johnson, O.T.
• Marissa Johnson, MOT, OTR/L
• Mark J Johnson
• McKenna Anne Johnson, OTR/L
• Mikki Johnson
• Randall G Johnson, PT
• Sandy Johnson, FNP-C
• Shandel Johnson, LMP

• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.