ROBERT E. JOHNSON, INC. (NPI# 1235304981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235304981 |
| Entity Type | Organization |
| Organization Name | ROBERT E. JOHNSON, INC. |
| Other Organization Name | ROBERT E. JOHNSON, LICENSED PSYCHOLOGIST |
| Practice Address |
2579 Hamline Ave N Suite D Roseville MN 55113-3186 |
| Practice Telephone | 6516280947 |
| Practice Fax Number | 6516362922 |
| Mailing Telephone | 6516280947 |
| Mailing Fax Number | 6516362922 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MR. ROBERT EDWARD JOHNSON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 6516280947 |
| Authorized Official Credential | M.A., L.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LP1796 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 099347600 | 05 | |
| MN | INDIVIDUAL NPI ALREADY ISSUED MEDICARE INFORMED US NEEDED GROUP | 1225134687 | 01 |
| Other Name | Type Code |
|---|---|
| Robert E. Johnson, Licensed Psychologist | Doing Business As Name - Organization |
| Street Address |
2579 HAMLINE AVE N SUITE D |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225134687 | Robert Edward Johnson | Psychologist | 2579 Hamline Ave N, Suite D, Roseville, MN 55113-3186 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659863173 | New Leaf Therapy, Inc. | Clinic/Center | 1935 County Road B2 W Ste 240, Roseville, MN 55113-2722 | 2018-05-31 |
| 1073985610 | Tc Therapy LLC | Clinic/Center | 2233 Hamline Ave N Ste 411, Roseville, MN 55113-5006 | 2015-10-22 |
| 1548816267 | Frederick R Sautter Licensed Clinical Social Worker Inc | Clinic/Center | 915 Highland Pointe Dr Ste 250, Roseville, CA 95678-5421 | 2019-08-18 |
| 1942863378 | Tutapona Inc | Clinic/Center | 1935 County Road B2 W Ste 270, Roseville, MN 55113-2785 | 2019-04-22 |
| 1962988782 | Counseling and Psychology, LLC | Clinic/Center | 2233 Hamline Ave N Ste 611, Roseville, MN 55113-5007 | 2018-07-15 |
| 1770912271 | Mn Couple Therapy Center | Clinic/Center | 1611 County Road B W, Suite 303, Roseville, MN 55113-5021 | 2013-11-05 |
| 1851630222 | Donald E. Horton, LLC | Clinic/Center | 1053 Lovell Ave W, Roseville, MN 55113-4424 | 2013-02-05 |
| 1174776561 | The Center for Christian Psychological Services | Clinic/Center | 2780 Snelling Ave N, Suite 104, Roseville, MN 55113-7115 | 2008-10-29 |
| 1063545531 | Crisis Intervention Specialist | Clinic/Center | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2007-03-14 |
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| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
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| 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.