Nicole Rene Johnson, MS, LPC, SAC - Counselor in Onalaska, WI

Nicole Rene Johnson, MS, LPC, SAC is a Counselor - Mental Health based in Onalaska, Wisconsin. Nicole Rene Johnson is licensed to practice in Wisconsin (license number 3067-125) and her current practice location is 704 Sand Lake Rd Ste 105, Onalaska, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 799-3881.

NPI number for Nicole Rene Johnson is 1689616518 and her current mailing address is 704 Sand Lake Rd Ste 105, Onalaska, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689616518.

Contact Information

Nicole Rene Johnson, MS, LPC, SAC
704 Sand Lake Rd Ste 105,
Onalaska, WI 54650-2456
(608) 799-3881
(608) 440-2823

Map and Direction


Healthcare Provider's Profile

Full NameNicole Rene Johnson
GenderFemale
SpecialityCounselor - Mental Health
Location704 Sand Lake Rd Ste 105, Onalaska, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689616518
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 03/30/2021

Medical Identifiers

Medical identifiers for Nicole Rene Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689616518NPI-NPPES
40907500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 15560-131 (Wisconsin)Secondary
101YM0800XCounselor - Mental Health 3067-125 (Wisconsin)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. Nicole Rene 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 AddressPractice Location Address
Nicole Rene Johnson, MS, LPC, SAC
704 Sand Lake Rd Ste 105,
Onalaska, WI 54650-2456

Ph: (608) 799-3881
Nicole Rene Johnson, MS, LPC, SAC
704 Sand Lake Rd Ste 105,
Onalaska, WI 54650-2456

Ph: (608) 799-3881

Reviews and Comments


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