MR. BRUCE A. JOHNSON (NPI# 1215304738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215304738 |
| Entity Type | Individual |
| Full Name | MR. BRUCE A. JOHNSON |
| Credential | LMFT / #769 |
| Practice Address |
425 Coon Rapids Blvd. Coon Rapids MN 55433 |
| Mailing Address |
425 Coon Rapids Blvd. #200 Coon Rapids MN 55433 |
| Practice Telephone | 7637843008 |
| Practice Fax Number | 7637843647 |
| Mailing Telephone | 7637843008 |
| Mailing Fax Number | 7637843647 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LMFT | 769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452329 | Bruce Johnson | Technician | 1720 R St Se, Washington, DC 20020-4763 | 2019-08-12 |
| 1932398393 | Bruce David Johnson | Social Worker | 230 East Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-10-22 |
| 1447453097 | Bruce G Johnson | Anesthesiology | 800 E Cheves St Ste 480b, Florence, SC 29506-2650 | 2007-06-08 |
| 1366654899 | Bruce Gordon Johnson | Optometrist | 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 | 2007-05-04 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1114040011 | Bruce Hinton Johnson | Dentist | 7641 Shaffer Pkwy, Littleton, CO 80127-3013 | 2007-04-08 |
| 1013034933 | Bruce Lyman Johnson | Dentist | 716 Castle Heights Ct, Lebanon, TN 37087-2670 | 2007-03-24 |
| 1912043621 | Bruce Johnson | Internal Medicine | 800 W Biesterfield Road, Suite 4003, Elk Grove Village, IL 60007 | 2007-01-29 |
| 1366591687 | Bruce A Johnson | Dentist | 8 W Dry Creek Circle, Ste 200, Littleton, CO 80120 | 2007-01-09 |
| 1932281946 | Bruce Alan Johnson | Dentist | 7311 Ne 141st St, Bothell, WA 98011-5303 | 2006-10-19 |
| Street Address |
425 COON RAPIDS BLVD. |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1649807272 | Nathan Daniel Myers | Marriage & Family Therapist | 2612 Carlson Dr Nw, Coon Rapids, MN 55433-1807 | 2020-03-24 |
| 1497151385 | Nicole M Shaffer | Marriage & Family Therapist | 2369 109th Ave Nw, Coon Rapids, MN 55433-4156 | 2014-11-05 |
| 1346315405 | Bradley K. Lambson, Pllc | Marriage & Family Therapist | 1635 Coon Rapids Blvd Nw, Suite 220, Coon Rapids, MN 55433-4779 | 2006-11-22 |
| 1801977863 | Suzanne Maxine Kelly | Marriage & Family Therapist | 2520 Coon Rapids Blvd Nw Ste 260, Coon Rapids, MN 55433-3908 | 2006-10-18 |
| 1245861798 | Sarah Elizabeth Parker | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-02-03 |
| 1780230789 | Andrew Phillip Shold | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2019-08-15 |
| 1891250163 | Patricia Sandkamp | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2019-01-31 |
| 1184191165 | James B Benda | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-29 |
| 1871071985 | Ariel Pavelka | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2018-07-31 |
| 1538653969 | Gabrielle Nordstrom | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2018-06-19 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on MR. BRUCE A. 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.