TIM JOHNSON (NPI# 1154310126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154310126 |
| Entity Type | Individual |
| Full Name | TIM JOHNSON |
| Credential | M.S.W., LICSW & LMFT |
| Practice Address |
8669 Eagle Point Blvd Lake Elmo MN 55042-8628 |
| Practice Telephone | 6513790444 |
| Practice Fax Number | 6513790448 |
| Mailing Telephone | 6513790444 |
| Mailing Fax Number | 6513790448 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2011-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
409 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 157 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN/AETNA | O95457000 | 01 | |
| MN | BCBS ID# | 563T1JO | 01 |
| MN | MEDICA/UBH ID# | 62-13403 | 01 |
| MN | HEALTH PARTNERS ID# | HP45669 | 01 |
| MN | COMPSYCH | 247927 | 01 |
| BHP/FAIRVIEW ID# | 102218 | 01 | |
| MN | VALUE OPTIONS ID# | 69599 | 01 |
| MN | 181557200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356611073 | Tim T. Johnson | Chiropractor | 12832 Garden Grove Blvd Ste A, Garden Grove, CA 92843-2014 | 2012-01-11 |
| 1841234515 | Tim R Johnson | Physician Assistant | 9777 S Yosemite St Ste 220, Lone Tree, CO 80124-3115 | 2006-06-15 |
| 1649622416 | Tim Johnson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-07-06 |
| 1750708053 | Tim Johnson | Pharmacist | 190 Southgate Dr, Aitkin, MN 56431-7407 | 2014-03-25 |
| 1437181351 | Tim D Johnson | Specialist | 6220 Perkins Road, Baton Rouge, LA 70808-4120 | 2006-07-07 |
| Street Address |
8669 EAGLE POINT BLVD |
| City | LAKE ELMO |
| State | MN |
| Zip Code | 55042-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158506 | Bachmann and Associates, Inc. | Clinic/Center | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2005-10-20 |
| 1811515166 | Chanel Joy Thiry | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2020-07-13 |
| 1851828560 | Courtney Leitschuh | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2017-05-12 |
| 1538421458 | Sheena Rapkin | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2012-06-15 |
| 1578822888 | Kurtis Ault | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2012-05-07 |
| 1003195470 | Amber Langford | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2011-08-16 |
| 1164722005 | Timothy Del Wiertzema | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2010-10-26 |
| 1104094135 | Michelle Faith Abbott | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2008-02-12 |
| 1023150067 | Vicki Rae Novak | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2007-02-13 |
| 1043284276 | Christina Osslund Gandhi | Psychologist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1760781314 | Swedehill Lifecare, LLC | Home Health | 8951 Highway 5, Lake Elmo, MN 55042 | 2011-03-22 |
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1245281823 | Kent Gregory Brockmann | Psychiatry & Neurology | 8673 Eagle Point Blvd, Lake Elmo, MN 55042 | 2006-05-16 |
| 1396722674 | Nancy L Johnson-rauen | Physical Therapist | 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 | 2005-12-28 |
| 1639655384 | Katlyn Arndt | Psychiatry & Neurology | 8515 Eagle Point Blvd, Lake Elmo, MN 55042 | 2018-07-16 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1396120473 | Pdg, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042 | 2015-07-30 |
| 1124455324 | Leslie Markowitz | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2013-10-02 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| Find all providers in zip 55042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831263219 | John Arthur Bragstad | Marriage & Family Therapist | 11550 Stillwater Blvd N, Lake Elmo, MN 55042-8612 | 2006-11-20 |
| 1043325863 | Dorothy A Elion | Marriage & Family Therapist | 8530 Eagle Point Blvd Ste 150, Lake Elmo, MN 55042-8654 | 2006-08-20 |
| 1538421458 | Sheena Rapkin | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2012-06-15 |
| 1578822888 | Kurtis Ault | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2012-05-07 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| 1164722005 | Timothy Del Wiertzema | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2010-10-26 |
| 1104094135 | Michelle Faith Abbott | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2008-02-12 |
| 1306820857 | Linda Gale | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2005-11-29 |
| 1245220136 | Mari Boyd | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2005-10-24 |
| 1154310134 | Anthony Sommars | Marriage & Family Therapist | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2005-10-20 |
| Find all providers in LAKE ELMO | ||||
Please comment or provide details below to improve the information on TIM JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.