| Johnson Psychotherapy, Llc | |
|
101 Main St W Ste 205 Ashland WI 54806-1668 | |
| (715) 575-4322 | |
| Not Available |
| Full Name | Johnson Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 Main St W Ste 205, Ashland, Wisconsin |
| Authorized Official Name and Position | Scott Johnson (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 7155754322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Psychotherapy, Llc Po Box 631 Ashland WI 54806-0631 Ph: (715) 575-4322 | Johnson Psychotherapy, Llc 101 Main St W Ste 205 Ashland WI 54806-1668 Ph: (715) 575-4322 |
| NPI Number | 1689455735 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Medicare PECOS PAC ID | 7911344098 |
|---|---|
| Medicare Enrollment ID | O20240325003015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689455735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Scott Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255698205 PECOS PAC ID: 9931338613 Enrollment ID: I20220321002325 |
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