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Active NPI 1265764641 Individual Practitioner Male Practitioner

Matthew Johnson , MA LPCC

Counselor - Professional • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Matthew Johnson, MA LPCC is a registered healthcare professional specializing in Counselor - Professional in Minneapolis, MN. Practice services are available at 219 SE MAIN ST STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

219 Se Main St Ste 400

Minneapolis, MN 55414

Telephone 6128862524
Fax 6128862538
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
328 Specialists

Practicing in Minneapolis, MN (2422 Statewide)

Telehealth Adoption Rate
12.5% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC00100

Definition to come...

Practice Associates & Co-Workers

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

8 Associated Practitioners
Samuel Johnson

Social Worker - Clinical

NPI 1013434299
Susan Gustafson , LP

Psychologist - Clinical

NPI 1073686655

Licensed Psychologist

David Werner , LICSW

Social Worker - Clinical

NPI 1083420954

Licensed Independent Clinical Social Worker

Kristen Doucette , MA, LPCC

Counselor - Mental Health

NPI 1174039887

Master of Arts, Licensed Professional Clinical Counselor

Dr. Stephanie Michaels , PsyD, LP

Psychologist - Counseling

NPI 1184108771

Doctor of Psychology (Psy.D.), Licensed Psychologist

Jennifer Lacroix , MA, LMFT

Marriage & Family Therapist

NPI 1194962308

Master of Arts, Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 12, 2018

Registered at 219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414 (Tel: 6128862524)

📍
Updated Business Mailing Address June 12, 2018

Registered at 219 SE MAIN ST STE 400, MINNEAPOLIS, MN 554142151 (Tel: 6128862524)

NPI Profile Active February 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2010

Registered at 3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 554164527 (Tel: 6129256033)

📍
Updated Business Mailing Address February 09, 2010

Registered at 3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 554164527 (Tel: 6129256033)

👤
Provider Name / Credentials Updated February 09, 2010

Recorded as MATTHEW JOHNSON, MA LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2010

Counselor (License #CC00100 in MN)

🟢
Initial NPI Registration & Enumeration February 09, 2010

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: 1265764641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: June 12, 2018
Sole Proprietor: No

Mailing Address

219 Se Main St Ste 400

Minneapolis, MN 554142151

Phone: 6128862524

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.