DR. JEAN ELIZABETH JOHNSON PSYD NPI 1285837948

NPI Information

NPI: 1285837948
Provider Name: DR. JEAN ELIZABETH JOHNSON, PSYD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1301 CORPORATE CENTER DR
SUITE 116
EAGAN, MN
ZIP 55121
Phone: (651) 905-1814
Get Directions

DR. Jean Elizabeth Johnson, PSYD is a mental health counselor in Eagan, MN. DR. Jean Elizabeth Johnson, PSYD NPI is 1285837948. 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:

1301 CORPORATE CENTER DR
SUITE 116
EAGAN, MN
ZIP 55121-298
Phone: (651) 905-1814
Fax: (651) 905-1815

The NPI 1285837948 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 6/8/2007 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	LP4356	MINNESOTA	Yes
2	103T00000X	Psychologist		LP4356	MINNESOTA	X
3	103TA0700X	Psychologist	Adult Development & Aging	LP4356	MINNESOTA	X
4	103TB0200X	Psychologist	Cognitive & Behavioral	LP4356	MINNESOTA	X
5	103TC0700X	Psychologist	Clinical	LP4356	MINNESOTA	X
6	103TC2200X	Psychologist	Clinical Child & Adolescent	LP4356	MINNESOTA	X
7	103TF0000X	Psychologist	Family	LP4356	MINNESOTA	X
8	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	LP4356	MINNESOTA	X

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: 4/28/2024

NPI Synchronization or Removal

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