KATRINA M. JOHNSON, LLC (NPI# 1275164709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275164709 |
| Entity Type | Organization |
| Organization Name | KATRINA M. JOHNSON, LLC |
| Practice Address |
106 Passive Sun Drive Soldiers Grove WI 54655 |
| Mailing Address |
Po Box 145 Soldiers Grove WI 54655-0145 |
| Practice Telephone | 6085530279 |
| Mailing Telephone | 6085530279 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | KATRINA JOHNSON (THERAPIST) |
| Authorized Official Telephone | 6085530279 |
| Authorized Official Credential | LCSW |
| 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) |
Ambulatory Health Care Facilities |
| Street Address |
106 PASSIVE SUN DRIVE |
| City | SOLDIERS GROVE |
| State | WI |
| Zip Code | 54655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942509948 | Amy Lynn Byl | Registered Nurse | 46727 Hollenbeck Road, Soldiers Grove, WI 54655 | 2011-03-17 |
| 1124171699 | Donald Stoebner | Pharmacist | 100 Passive Sun Dr, Soldiers Grove, WI 54655 | 2007-01-19 |
| 1194143487 | Joel Charles | Family Medicine | 102 Sunset Ave, Soldiers Grove, WI 54655 | 2014-04-03 |
| 1144350067 | North Crawford Rescue Squad, Inc. | Ambulance | 102 Legion Dr., Soldiers Grove, WI 54655-0037 | 2007-03-07 |
| 1134208218 | Sannes Skogdalen Nursing Facility LLC | Skilled Nursing Facility | 101 Sunshine Blvd, Soldiers Grove, WI 54655-0177 | 2006-11-02 |
| 1215974670 | Patricia A Swasko | Nurse Practitioner | 102 Sunset Ave, Soldiers Grove, WI 54655-1047 | 2006-06-02 |
| 1376549824 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2005-06-21 |
| 1982648697 | Lisa J Varnes-epstein | Physician Assistant | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-15 |
| 1740224492 | Tammy S Pedretti | Physician Assistant | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-15 |
| 1801838784 | Timothy J Devitt | Family Medicine | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-12 |
| Find all providers in zip 54655 | ||||
| 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 |
|---|---|---|---|---|
| 1033543798 | Equimotion, Inc | Clinic/Center | 10750 Gage Ln, Soldiers Grove, WI 54655-8564 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| 1477199602 | Aimee Metzger Psychotherapy LLC | Clinic/Center | 405 E Forest St Ste 106, Oconomowoc, WI 53066-3707 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | SOLDIERS GROVE |
| Zip Code | 54655 |
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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.