Amanda R Johnson, LCSW is a
Counselor - Mental Health based in Fort Collins, Colorado. Amanda R Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1217 Riverside Ave, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 494-4200.
NPI number for Amanda R Johnson is 1396907531 and her current mailing address is 4856 Innovation Dr, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396907531.
Healthcare Provider's Profile
Full Name | Amanda R Johnson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1217 Riverside Ave, Fort Collins, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396907531
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 11/06/2019
Medical Identifiers
Medical identifiers for Amanda R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396907531 | NPI | - | NPPES |
200816830A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34004308A (Indiana) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda R Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda R Johnson, LCSW 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 | Amanda R Johnson, LCSW 1217 Riverside Ave, Fort Collins, CO 80524-3218 Ph: (970) 494-4200 |
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