JESSICA MICHELLE JOHNSON


Address: 2708 119th Ave Nw, Coon Rapids, MN 55433-2912
Phone: 6127049396

JESSICA MICHELLE JOHNSON (NPI# 1255667317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255667317
Entity Type Individual
Full Name JESSICA MICHELLE JOHNSON
Credential LMFT
Practice Address 2708 119th Ave Nw
Coon Rapids
MN 55433-2912
Mailing Address 6402 River Mill Dr
Monticello
MN 55362-3607
Practice Telephone 6127049396
Mailing Telephone 6122806326
Enumeration Date 2009-10-26
Last Update Date 2019-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 3676 MN Behavioral Health & Social Service Providers

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1215588819 Jessica Johnson Counselor 1001 John D Odom Rd, Dothan, AL 36303-9485 2019-09-25
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Office Location

Street Address 2708 119TH AVE NW
City COON RAPIDS
State MN
Zip Code 55433-2912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215055322 People Incorporated Community/Behavioral Health 2708 119th Ave Nw, Coon Rapids, MN 55433-2912 2007-03-27
1760030142 Anna Kristine Schmitt Registered Nurse 2708 119th Ave Nw, Coon Rapids, MN 55433-2912 2019-08-29
1659506525 Sarah Elizabeth Cross Social Worker 2708 119th Ave Nw, Coon Rapids, MN 55433-2912 2009-05-21

Providers in the same zip code

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 Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649807272 Nathan Daniel Myers Marriage & Family Therapist 2612 Carlson Dr Nw, Coon Rapids, MN 55433-1807 2020-03-24
1215304738 Bruce A. Johnson Marriage & Family Therapist 425 Coon Rapids Blvd., Coon Rapids, MN 55433 2015-09-01
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
Find all providers in COON RAPIDS

Competitor

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City COON RAPIDS
Zip Code 55433

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Dataset Information

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.

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