Willard L Johnson (NPI# 1922211572, PAC ID# 2365622495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1922211572 |
| PAC ID by PECOS | 2365622495 |
| Professional Enrollment ID | I20110208000058 |
| Full Name | Willard L Johnson |
| Organization Legal Name | NORTHLAND COUNSELING CENTER INC |
| Address |
215 2nd Ave Se Grand Rapids MN 55744-3615 |
| Phone Number | 2183271151 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 1153389242 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 215 2nd Ave Se, Grand Rapids, MN 55744-3615 | 2183271151 | NORTHLAND COUNSELING CENTER INC |
| 900 5th St, Suite 305, International Falls, MN 56649-2200 | 2182833406 | NORTHLAND COUNSELING CENTER INC |
| Organization Legal Name | NORTHLAND COUNSELING CENTER INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Maxwell | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Allison L Ohara | Psychologist, Clinical | Northland Counseling Center Inc | 900 5th St, Suite 305, International Falls, MN 56649-2200 |
| Dannielle C Nelson | Nurse Practitioner | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Thomas Kefalas | Psychiatry | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Angela C Pellerito | Nurse Practitioner | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Jessica S Struwve | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Brea J Wallaker | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Street Address |
215 2ND AVE SE |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-3615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Maxwell | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Dannielle C Nelson | Nurse Practitioner | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Thomas Kefalas | Psychiatry | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Angela C Pellerito | Nurse Practitioner | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Jessica S Struwve | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Brea J Wallaker | Clinical Social Worker | Northland Counseling Center Inc | 215 2nd Ave Se, Grand Rapids, MN 55744-3615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | GRAND RAPIDS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Willard L Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.