BRADLEY D JOHNSON (NPI# 1417170374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417170374 |
| Entity Type | Individual |
| Full Name | BRADLEY D JOHNSON |
| Credential | LMFT |
| Practice Address |
15798 Venture Ln Suite 201 Eden Prairie MN 55344-5729 |
| Practice Telephone | 9527463883 |
| Practice Fax Number | 9527463894 |
| Mailing Telephone | 9527463883 |
| Mailing Fax Number | 9527463894 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1209 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861997975 | Bradley Johnson | Durable Medical Equipment & Medical Supplies | 6489 Endurance Hts, Colorado Springs, CO 80923-5803 | 2018-03-29 |
| 1245641265 | Bradley Curtis Johnson | Orthopaedic Surgery | 39 Congress St Fl 2, Pasadena, CA 91105-3024 | 2014-05-13 |
| 1922443878 | Bradley Scott Johnson | Pharmacist | 2305 Jordan Ln Sw, Huntsville, AL 35805-3322 | 2013-05-06 |
| 1023251642 | Bradley S Johnson | Dentist | 1551 E Morris Blvd, Morristown, TN 37813-5729 | 2009-04-13 |
| 1407023567 | Bradley Duncan Johnson | Psychiatry & Neurology | 617 Hove Ct, Walnut Creek, CA 94598-2325 | 2008-05-08 |
| 1003010596 | Bradley Tyler Johnson | Otolaryngology | 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 | 2007-06-11 |
| 1568427045 | Bradley P Johnson | Nurse Anesthetist, Certified Registered | 196 North Street, Geneva, NY 14456 | 2006-04-19 |
| 1518931260 | Bradley E Johnson | Dentist | 1016 Nw Newport Ave, Bend, OR 97701-1618 | 2006-02-16 |
| 1710984588 | Bradley Thiren Johnson | Pharmacist | 4010 Aerial Way, Eugene, OR 97402-9757 | 2005-07-07 |
| 1790781516 | Bradley N Johnson | Physical Therapist | 309 S Louisiana St, Plain Dealing, LA 71064-3431 | 2005-06-27 |
| Street Address |
15798 VENTURE LN SUITE 201 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317413 | Douglas G. Frey | Psychologist | 15798 Venture Ln, Eden Prairie, MN 55344-5729 | 2007-01-31 |
| 1821241340 | Psychological Healthcare of Minnesota Pa | Psychologist | 15798 Venture Ln, Eden Prairie, MN 55344-5729 | 2008-10-28 |
| 1427192095 | Elizabeth J Griffin | Marriage & Family Therapist | 15798 Venture Ln, Eden Prairie, MN 55344-5729 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| 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 |
|---|---|---|---|---|
| 1124680244 | Kayla Scott | Marriage & Family Therapist | 7525 Mitchell Rd Ste 215, Eden Prairie, MN 55344-1957 | 2019-06-29 |
| 1073962247 | Briana Jo Rynerson | Marriage & Family Therapist | 6458 City W Pkwy, Eden Prairie, MN 55344-3245 | 2016-06-08 |
| 1255720496 | Olivia Ingalls Jewett | Marriage & Family Therapist | 7525 Mitchell Rd Ste 310, Eden Prairie, MN 55344-1958 | 2015-01-12 |
| 1871856591 | Ann Piatt | Marriage & Family Therapist | 17131 Cedarcrest Dr, Eden Prairie, MN 55347-3713 | 2012-06-18 |
| 1144479288 | Lindsay Marie Narayan | Marriage & Family Therapist | 8613 Endicott Trl, Eden Prairie, MN 55347-2205 | 2008-09-12 |
| 1134380058 | Donald I. Beiswenger | Marriage & Family Therapist | 11010 Praire Lakes Drive, Suite 250, Prairie Lakes Corporate Center II, Eden Prairie, MN 55344 | 2008-06-23 |
| 1750598306 | Victoria Marie Franzen | Marriage & Family Therapist | 6542 Regency Ln Ste 215, Eden Prairie, MN 55344-7848 | 2007-05-16 |
| 1972692382 | Sandra Lee Guggisberg | Marriage & Family Therapist | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 | 2006-10-12 |
| 1124631742 | Christa Rose Erickson | Marriage & Family Therapist | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-08-24 |
| 1417516931 | Yaneth Annette Cunningham | Marriage & Family Therapist | 800 Prairie Center Dr Ste 210, Eden Prairie, MN 55344-7328 | 2019-06-08 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on BRADLEY D 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.