GRETCHEN S JOHNSON MA
NPI 1104650621
Counselor - School in Bloomington, MN

Active since August 27, 2024
8600 LAKEVIEW RD, BLOOMINGTON, MN 55438(612) 430-1487 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gretchen S Johnson Ma NPPES

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

GRETCHEN S JOHNSON MA (NPI 1104650621) is an individual school provider in Bloomington, Minnesota, licensed in Minnesota (366848) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104650621
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameGRETCHEN S JOHNSONCredential: MA
Location Address8600 LAKEVIEW RDBloomington, MN 55438-1537
Mailing Address8600 Lakeview RdBloomington, MN 55438-1537 · (612) 430-1487
Sole ProprietorYes
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1104650621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in MN · 366848
8600 LAKEVIEW RD, Bloomington, MN 55438

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104650621, enumerated as an "individual" on August 27, 2024.

The provider is located at 8600 LAKEVIEW RD BLOOMINGTON, MN 55438 and the phone number is (612) 430-1487.

Counselor with taxonomy code 101YS0200X and a focus in School.