DEBBIE RAE JOHNSON LADC LPCC NPI 1053955476

NPI Information

  • NPI: 1053955476
  • Provider Name: DEBBIE RAE JOHNSON, LADC, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6448 MAIN ST STE 1AND3
    NORTH BRANCH, MN
    ZIP 55056
  • Phone: (651) 775-9804

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NPI Details

Debbie Rae Johnson, LADC, LPCC is a mental health counselor in North Branch, MN. Debbie Rae Johnson, LADC, LPCC NPI is 1053955476. 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:

6448 MAIN ST STE 1AND3
NORTH BRANCH, MN
ZIP 55056-068
Phone: (651) 775-9804
Fax: (844) 364-7181

The enumeration date for this NPI number is 10/29/2019 and was last updated on 3/5/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)305121MINNESOTANo
2101YM0800XCounselorMental HealthCC03414MINNESOTAYes

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: 3/30/2025

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