LAURA JOHNSON MS SAC-IT NPI 1467810028

NPI Information

NPI: 1467810028
Provider Name: LAURA JOHNSON, MS, SAC-IT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
9532 E. 16 FRONTAGE RD
STE. 100
ONALASKA, WI
ZIP 54650
Phone: (608) 783-0506
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Laura Johnson, MS, SAC-IT is an addiction (substance use disorder) counselor in Onalaska, WI. Laura Johnson, MS, SAC-IT NPI is 1467810028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9532 E. 16 FRONTAGE RD
STE. 100
ONALASKA, WI
ZIP 54650-742
Phone: (608) 783-0506
Fax: (608) 783-0242

The NPI 1467810028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 3/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17497-130	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003150004	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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