CRAIG R. JOHNSON (NPI# 1629449715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629449715 |
| Entity Type | Individual |
| Full Name | CRAIG R. JOHNSON |
| Credential | LADC |
| Practice Address |
6550 York Ave S Edina MN 55435-2347 |
| Practice Telephone | 9529262526 |
| Mailing Telephone | 9529262526 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303100 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6550 YORK AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114999141 | Todd Adrian Lunda | Audiologist | 6550 York Ave S, Suite 305, Edina, MN 55435 | 2006-02-03 |
| 1790225720 | Comfort Wagner | Chiropractor | 6550 York Ave S, Suite 303, Edina, MN 55435-2347 | 2017-02-23 |
| 1225588726 | Midway Counseling, LLC | Counselor | 6550 York Ave S, Suite 410, Edina, MN 55435-2347 | 2016-10-07 |
| 1548619018 | Joanne M Simmons | Marriage & Family Therapist | 6550 York Ave S, Suite 410, Edina, MN 55435-2347 | 2016-06-06 |
| 1528430378 | Katherine Burek | Counselor | 6550 York Ave S, Ste 620, Edina, MN 55435-2347 | 2015-10-20 |
| 1992120984 | Natalie Lauren Yarbrough | Physical Therapist | 6550 York Ave S, Suite 520, Edina, MN 55435-2336 | 2014-02-27 |
| 1912279258 | Nicholas Adam Hastad | Chiropractor | 6550 York Ave S, 303, Edina, MN 55435-2347 | 2012-02-02 |
| 1992003024 | Gregory Joseph Zimel | Physical Therapist | 6550 York Ave S, Suite 520, Edina, MN 55435-2347 | 2011-03-15 |
| 1235432659 | Stephen E Clark | Psychologist | 6550 York Ave S, Ste 503, Edina, MN 55435 | 2010-12-07 |
| 1275835589 | Spinal Motion Chiropractic Pllc | Chiropractor | 6550 York Ave S, Suite 515, Edina, MN 55435-2347 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629589668 | Critical Point LLC | Counselor | 7101 York Ave S Ste 344, Edina, MN 55435-4408 | 2017-10-17 |
| 1952774218 | Nicole Knudson-dalal | Counselor | 5275 Edina Industrial Blvd Ste 103, Edina, MN 55439-2915 | 2015-11-09 |
| 1588035679 | Daniel Burris | Counselor | 6550 York Ave S Ste 620, Edina, MN 55435-2347 | 2015-10-14 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1508205170 | Ralph Blane Campbell IIi | Counselor | 6700 Point Dr, Edina, MN 55435-1629 | 2013-06-17 |
| 1215373428 | Brad Herman | Counselor | 7400 Edinborough Way, #5312, Edina, MN 55435-5615 | 2013-05-14 |
| 1295874402 | Chemical Health Concepts, Inc. | Counselor | 4010 W 65th St Ste 102, Edina, MN 55435-1724 | 2007-02-05 |
| 1861971566 | Naysha Lavonne Stone | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2018-08-13 |
| 1558865121 | Isabella H Hopwood | Counselor | 7400 France Ave S, Edina, MN 55435-4738 | 2018-03-20 |
| 1528430378 | Katherine Burek | Counselor | 6550 York Ave S, Ste 620, Edina, MN 55435-2347 | 2015-10-20 |
| Find all providers in EDINA | ||||
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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.