MADELINE BAKER JOHNSON (NPI# 1457969057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457969057 |
Entity Type | Individual |
Full Name | MADELINE BAKER JOHNSON |
Credential | MA, LPCC |
Practice Address |
21000 Rogers Dr Ste 200 Rogers MN 55374-4926 |
Mailing Address |
3659 Main St Ne Minneapolis MN 55418-1133 |
Practice Telephone | 7632915505 |
Practice Fax Number | 7636570819 |
Mailing Telephone | 8475258852 |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-07-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2541 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3659 Main St Ne, Minneapolis, MN 554181133 | 8475258852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508424102 | Madeline Nicole Johnson | Physician Assistant | 5915 Mc Kinley Pl, Excelsior, MN 55331-8125 | 2019-05-30 |
1457849408 | Madeline Elaine Johnson | Specialist/Technologist | 817 Peal Ln, Dandridge, TN 37725-4707 | 2018-04-25 |
1972048171 | Madeline Johnson | Respiratory Therapist, Certified | 4675 Cornell Rd, Blue Ash, OH 45241-2461 | 2016-12-23 |
1184222937 | Madeline Johnson | Social Worker | 1801 Park Court Pl Bldg H, Santa Ana, CA 92701-5028 | 2020-10-14 |
1578184826 | Madeline Johnson | Nurse Practitioner | 1810 Hayes St, Nashville, TN 37203-2504 | 2020-04-28 |
1245887603 | Madeline Elaine Johnson | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-08-21 |
1629557640 | Madeline Rose Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-08-09 |
1043709603 | Madeline Johnson | Speech-Language Pathologist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2018-05-08 |
1891201984 | Madeline K Johnson | Physician Assistant | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2017-12-27 |
1417478991 | Madeline L Johnson | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2017-07-05 |
Street Address |
21000 ROGERS DR STE 200 |
City | ROGERS |
State | MN |
Zip Code | 55374-4926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558549832 | Fawn April Vogt | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2008-02-08 |
1881240208 | Trina Hendrickson | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2019-08-12 |
1316490063 | Paige Lehto | Marriage & Family Therapist | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2016-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
Find all providers in zip 55374 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821628652 | Kendra Glasper | Counselor | 5500 W Pinnacle Pointe Dr Ste 204, Rogers, AR 72758-8153 | 2020-01-21 |
1912408261 | Annie Martin | Counselor | 1200 W Walnut St Ste B1150, Rogers, AR 72756-3521 | 2018-02-22 |
1386166791 | Summit Family Counseling, Inc. | Counselor | 7 Halsted Cir, Rogers, AR 72756-3185 | 2017-07-07 |
1063960458 | Jason Lecompte | Counselor | 7 Halsted Cir Ste 111, Rogers, AR 72756-3185 | 2016-09-14 |
1780005207 | Alexandra Marie Schultz | Counselor | 21308 John Milless Dr Ste 202, Rogers, MN 55374-4855 | 2013-12-31 |
1619231313 | Aaron French | Counselor | 1200 W Walnut, Suite 1400, Rogers, AR 72756-4593 | 2012-06-27 |
1164722302 | Ivy Le | Counselor | 1200 W Walnut St Ste 1400, Rogers, AR 72756-3598 | 2010-10-21 |
1912226499 | Mallory Leigh Bockelman | Counselor | 101 W Walnut St Ste C, Rogers, AR 72756-6662 | 2010-05-24 |
1366645905 | Lee Ann Nimmo | Counselor | 15370 Tulsa Drive, Rogers, AR 74652 | 2007-06-11 |
1124243985 | Donna M Sheppard | Counselor | 3852a Carol Place, Rogers, AR 72758 | 2007-04-16 |
Find all providers in ROGERS |
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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.