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LISA J JOHNSON
NPI 1053263376
Counselor - Addiction (Substance Use Disorder) in Roseville, MN

Active since February 10, 2026
2350 CLEVELAND AVE N, ROSEVILLE, MN 55113(507) 850-1100 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa J Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA J JOHNSON (NPI 1053263376) is an individual addiction (substance use disorder) provider in Roseville, Minnesota, licensed in Minnesota (302157) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1053263376
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA J JOHNSON
Location Address2350 CLEVELAND AVE NRoseville, MN 55113-2701
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886
Phone(507) 850-1100
Sole ProprietorNo
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1053263376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302157
2350 CLEVELAND AVE N, Roseville, MN 55113
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAI YANG LEICHTLE
Nurse Practitioner
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 757-0187
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC
Clinic/Center (Methadone)
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (507) 850-1100
LAURIE HOCKING
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (507) 850-1100
MICHAEL MARCUM LADC
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (507) 850-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1053263376. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Lisa Johnson located?

Lisa Johnson practices at 2350 Cleveland Ave N, Roseville, MN 55113. The listed phone number is (507) 850-1100.

What is Lisa Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.