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Active NPI 1598475212 Individual Practitioner Female Practitioner

Alisa R Johnson , LPCC

Counselor - Professional • Willmar, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alisa Johnson, LPCC is a certified Counselor - Professional practicing in Willmar, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Alisa Johnson delivers high-quality medical care to the local community at 217 INDUSTRIAL DR SW.

Alisa Johnson maintains professional affiliations with Ametrine Mental Health Pllc, Community Outreach Counseling Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

217 Industrial Dr Sw

Willmar, MN 562012989

Telephone 3202953450

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Willmar, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +2.2 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
36 Specialists

Practicing in Willmar, MN (2422 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (16 Years) 16 Yrs
Willmar Specialty Average (13.8 Years) 13.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-12-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 3612

Definition to come...

Hospital & Practice Group Affiliations

Community Outreach Counseling Pc

217 Industrial Dr Sw, Willmar, MN 562012989

Phone: 3209054206

Ametrine Mental Health Pllc

194 Progress Way, Spicer, MN 562885000

Phone: 3209055971

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jessica Waldemarsen , LICSW

Social Worker - Clinical

NPI 1679197602

Licensed Independent Clinical Social Worker

Timothy Johnson , MA LMFT

Marriage & Family Therapist

NPI 1699864660

MALMFT

Kelly Kveene , LMFT

Marriage & Family Therapist

NPI 1922326412

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2022

Registered at 217 INDUSTRIAL DR SW, WILLMAR, MN 562012989 (Tel: 3202953450)

📍
Updated Business Mailing Address December 05, 2022

Registered at 12706 COUNTY ROAD 27 NW, PENNOCK, MN 562798510 (Tel: 3202953450)

👤
Provider Name / Credentials Updated December 05, 2022

Recorded as ALISA JOHNSON, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2022

Counselor (License #3612 in MN)

🟢
Initial NPI Registration & Enumeration December 05, 2022

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: 1598475212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2022
Last Update: December 05, 2022
Sole Proprietor: Yes

Mailing Address

12706 County Road 27 Nw

Pennock, MN 562798510

Phone: 3202953450

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.