Individual provider Active NPI

Justin Michael Johnson, LMFTA

  • Mental Health Counselor
  • Auburn, WA
National Provider Identifier
1992669782
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MG70038608 Issued in WA
Practice address
921 Harvey Rd NE Ste C
Auburn, WA 98002-4294
Phone
(253) 939-2211
Fax
(253) 939-2867
NPI assigned
Dec 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG70038608 WA
Mental Health Counselor 101YM0800X MG70038608 WA Primary

Addresses

Primary practice location

921 Harvey Rd NE Ste C
Auburn, WA 98002-4294

Mailing address

921 Harvey Rd NE Ste C
Auburn, WA 98002-4294
Phone (253) 939-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MG70038608WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Walk to Freedom Counseling, LLC Mental Health CurrentSince Dec 21, 2025 Accepting new patients

Locations

921 Harvey Rd NE
Ste C
Auburn, WA 98002
Phone (253) 433-1701

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1992669782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD NE STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-939-2211",
            "fax_number": "253-939-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD NE STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-939-2211",
            "fax_number": "253-939-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG70038608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG70038608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.