Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386980936 Individual Practitioner Female Practitioner

Beth Johnson

Counselor - Professional • Wasilla, AK

Professional Overview & Biography Verified Profile Summary

Beth Johnson is a registered healthcare professional specializing in Counselor - Professional in Wasilla, AK. Practice services are available at 1075 S CHECK ST STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1075 S Check St Ste 110

Wasilla, AK 996548067

Telephone 9079316928
Fax 9079317138
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Wasilla, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Wasilla, AK (594 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AK 154814

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1713243 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bridgette Evans , LCSW

Social Worker - Clinical

NPI 1306490651

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 09, 2024

Registered at 1075 S CHECK ST STE 110, WASILLA, AK 996548067 (Tel: 9079316928)

📍
Updated Business Mailing Address July 09, 2024

Registered at 1075 S CHECK ST STE 110, WASILLA, AK 996548067 (Tel: 9079316928)

📍
Updated Practice Location January 15, 2024

Registered at 290 N YENLO ST STE B5, WASILLA, AK 996547177 (Tel: 9079316928)

📍
Updated Business Mailing Address January 15, 2024

Registered at 290 N YENLO ST STE B5, WASILLA, AK 996547177 (Tel: 9079316928)

📍
Updated Practice Location September 17, 2021

Registered at 419 6TH ST STE 317, JUNEAU, AK 998011072 (Tel: 9075008079)

📍
Updated Business Mailing Address August 25, 2021

Registered at 419 6TH ST STE 317, JUNEAU, AK 998011072 (Tel: 9079316928)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2021

Counselor (License #154814 in AK)

📍
Updated Practice Location June 28, 2021

Registered at 3260 HOSPITAL DR, JUNEAU, AK 998017808 (Tel: 9077968498)

📍
Updated Business Mailing Address June 28, 2021

Registered at 325A 6TH ST, JUNEAU, AK 998011113 (Tel: 9075008079)

NPI Profile Active December 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2012

Registered at 820 1ST STREET, LIMON, CO 808281120 (Tel: 7197752367)

📍
Updated Business Mailing Address December 28, 2012

Registered at 820 1ST STREET, LIMON, CO 808281120 (Tel: 7197752367)

👤
Provider Name / Credentials Updated December 28, 2012

Recorded as BETH JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2012

Counselor (License #786 in AK)

🟢
Initial NPI Registration & Enumeration December 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386980936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2012
Last Update: July 09, 2024
Sole Proprietor: No

Mailing Address

1075 S Check St Ste 110

Wasilla, AK 996548067

Phone: 9079316928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.