AMANDA MARIE JOHNSON (NPI# 1114446572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114446572 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE JOHNSON |
| Credential | MA, LPCC |
| Practice Address |
721 Commerce Dr Woodbury MN 55125 |
| Practice Telephone | 7639231717 |
| Mailing Telephone | 7639231717 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
721 COMMERCE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306230487 | Marissa Hanson | Social Worker | 721 Commerce Dr, Woodbury, MN 55125 | 2015-03-26 |
| 1780282384 | Noah Daniel Kast | Behavior Technician | 721 Commerce Dr, Woodbury, MN 55125 | 2020-10-15 |
| 1154929792 | Kirsie Aho | Speech-Language Pathologist | 721 Commerce Dr, Woodbury, MN 55125 | 2020-10-15 |
| 1649897570 | Jordan Petryniec | Behavior Technician | 721 Commerce Dr, Woodbury, MN 55125 | 2020-06-26 |
| 1811537392 | Joseph Michael Stagg | Speech-Language Pathologist | 721 Commerce Dr, Woodbury, MN 55125 | 2020-01-13 |
| 1740826650 | Ashley Hahn | Psychologist | 721 Commerce Dr, Woodbury, MN 55125 | 2019-11-26 |
| 1780240705 | Margaret Reyerson | Marriage & Family Therapist | 721 Commerce Dr, Woodbury, MN 55125 | 2019-05-15 |
| 1659831915 | Anne Marie Costello | Occupational Therapist | 721 Commerce Dr, Woodbury, MN 55125 | 2019-03-22 |
| 1356833263 | Julie Debra Woodford | Occupational Therapist | 721 Commerce Dr, Woodbury, MN 55125 | 2018-06-06 |
| 1043702087 | Alexandra Jean Schumacher | Speech-Language Pathologist | 721 Commerce Dr, Woodbury, MN 55125 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1891324919 | Amy Ellen Degirolamo | Counselor | 45 Euclid St Ste 201, Woodbury, NJ 08096-4631 | 2020-04-02 |
| 1710518493 | Kelly White | Counselor | 44 Cooper St Ste 109, Woodbury, NJ 08096-4642 | 2020-01-30 |
| 1649815614 | Summer Counseling and Behavioral Health Summer Counseling | Counselor | 1687 Woodlane Dr Ste 208, Woodbury, MN 55125-3047 | 2019-11-13 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1003328816 | Kathleen Engh | Counselor | 6063 Hudson Rd Ste 200, Woodbury, MN 55125-4455 | 2017-11-02 |
| 1780196964 | Tammy Jean Weinke | Counselor | 10300 City Walk Dr Unit 432, Woodbury, MN 55129-6953 | 2017-10-28 |
| 1811416688 | Family Care Connections, LLC | Counselor | 44 Cooper St Ste 6, Woodbury, NJ 08096-4653 | 2017-09-13 |
| 1619495827 | Rachel Champeau Sneve | Counselor | 2165 Woodlane Dr Ste 200, Woodbury, MN 55125-2915 | 2017-09-07 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on AMANDA MARIE 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.