SAMANTHA JOHNSON (NPI# 1750796199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796199 |
| Entity Type | Individual |
| Full Name | SAMANTHA JOHNSON |
| Credential | M.A., LMFT, LADC |
| Practice Address |
200 4th Ave W Suite 300 Shakopee MN 55379-1220 |
| Practice Telephone | 9524968172 |
| Practice Fax Number | 9524968355 |
| Mailing Telephone | 9524968172 |
| Mailing Fax Number | 9524968355 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303761 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT 2951 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
| Street Address |
200 4TH AVE W SUITE 300 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713935 | Kim Harmon | Social Worker | 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379-1220 | 2005-07-13 |
| 1336673847 | Stephanie Stacy Smith | Psychologist | 200 4th Ave W, Government Center, Rm 300, Shakopee, MN 55379-1220 | 2017-04-12 |
| 1629521158 | Beth Becker | Marriage & Family Therapist | 200 4th Ave W, Shakopee, MN 55379-1220 | 2016-08-02 |
| 1679026710 | Jane Stevens-schlosser | Marriage & Family Therapist | 200 4th Ave W, Shakopee, MN 55379-1220 | 2016-07-25 |
| 1861843245 | Kory Martin | Marriage & Family Therapist | 200 4th Ave W, Government Center Suite 300, Shakopee, MN 55379-1220 | 2016-06-27 |
| 1700257052 | Megan Giesen | Counselor | 200 4th Ave W, Shakopee, MN 55379-1220 | 2015-10-13 |
| 1811366362 | Ashley Swanson | Marriage & Family Therapist | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 | 2015-09-15 |
| 1912373788 | Erik Elsberry | Marriage & Family Therapist | 200 4th Ave W, Government Center 300, Shakopee, MN 55379-1220 | 2015-08-17 |
| 1275937484 | Jason Eckerman | Psychologist | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 | 2014-10-17 |
| 1649679879 | Natalie Fulton | Counselor | 200 4th Ave W, 300, Shakopee, MN 55379-1220 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| 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 |
|---|---|---|---|---|
| 1255835781 | Lara T Collins Asmus | Marriage & Family Therapist | 200 4th Ave W # 300, Shakopee, MN 55379-1220 | 2018-03-20 |
| 1942638895 | Sara Toenies | Marriage & Family Therapist | 200 4th Avenue West, Ste 300, Shakopee, MN 55379-1220 | 2013-10-30 |
| 1811256761 | William Zweber | Marriage & Family Therapist | 327 Marschall Rd Ste 250, Shakopee, MN 55379-2666 | 2012-05-13 |
| 1679847131 | James William Holden | Marriage & Family Therapist | 200 4th Ave W Ste 300, Shakopee, MN 55379-1220 | 2012-03-01 |
| 1497353163 | Sarah E Mickelsen | Marriage & Family Therapist | 200 4th Ave W Ste 300, Shakopee, MN 55379-1220 | 2020-10-14 |
| 1700356284 | Kelsey Lee Steinbach | Marriage & Family Therapist | 200 4th Ave W Ste 300, Shakopee, MN 55379-1220 | 2018-11-28 |
| 1629521158 | Beth Becker | Marriage & Family Therapist | 200 4th Ave W, Shakopee, MN 55379-1220 | 2016-08-02 |
| 1679026710 | Jane Stevens-schlosser | Marriage & Family Therapist | 200 4th Ave W, Shakopee, MN 55379-1220 | 2016-07-25 |
| 1861843245 | Kory Martin | Marriage & Family Therapist | 200 4th Ave W, Government Center Suite 300, Shakopee, MN 55379-1220 | 2016-06-27 |
| 1811366362 | Ashley Swanson | Marriage & Family Therapist | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 | 2015-09-15 |
| Find all providers in SHAKOPEE | ||||
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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.