Pamela Johnson, MA, LMFT, LP is a
Marriage & Family Therapist based in Roseville, Minnesota. Pamela Johnson is licensed to practice in Minnesota (license number 0736) and her current practice location is
1751 County Road B W Ste 100, Roseville, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 719-5636.
NPI number for Pamela Johnson is 1235158940 and her current mailing address is 4775 Dodd Rd, Eagan, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235158940.
Healthcare Provider's Profile
Full Name | Pamela Johnson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1751 County Road B W Ste 100, Roseville, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235158940
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Pamela Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235158940 | NPI | - | NPPES |
62-20741 | Other | MN | UBH |
561853300 | Medicaid | MN | |
104309 | Other | MN | UC |
570038 | Other | MN | P1 |
0G042JO | Other | MN | BCBS |
17621 | Other | MN | HP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 0541 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 0736 (Minnesota) | 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. Pamela 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 |
Pamela Johnson, MA, LMFT, LP 4775 Dodd Rd, Eagan, MN 55123-2112 Ph: (612) 719-5636 | Pamela Johnson, MA, LMFT, LP 1751 County Road B W Ste 100, Roseville, MN 55113-4037 Ph: (612) 719-5636 |
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