1. Home
  2. Directory
  3. Minnesota
  4. Woodbury
  5. Counselor
  6. NPI Profile

AMANDA MARIE JOHNSON MA, LPCC
NPI 1114446572
Counselor - Professional in Woodbury, MN

Active since September 15, 2017PECOS Enrolled
721 COMMERCE DR, WOODBURY, MN 55125(763) 923-1717 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2019, Sep 15, 2017 (2 updates tracked since 2017).

About Amanda Marie Johnson Ma, Lpcc NPPES

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

AMANDA MARIE JOHNSON MA, LPCC (NPI 1114446572) is an individual professional provider in Woodbury, Minnesota and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114446572
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA MARIE JOHNSONCredential: MA, LPCC
Location Address721 COMMERCE DRWoodbury, MN 55125
Mailing Address721 Commerce DrWoodbury, MN 55125 · (763) 923-1717
Phone(763) 923-1717
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
Last NPPES UpdateFebruary 8, 20192 updates tracked since enumeration
✔ NPI 1114446572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
721 COMMERCE DR, Woodbury, MN 55125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Marie Johnson Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fraser Child And Family Center
15 mi
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

VICTORIA ESTER HINTON
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
NENE AISSATOU DIALLO
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
JUSTIN MUELLER
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
MARYKATHERINE F KOCOUREK
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
KAILEE ANNETTE DEAN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
SABRINA L ANDERSEN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
VICTORIA ANN TODD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 445-8326
SYDNEY BOYD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000

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 Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1114446572. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Amanda Johnson located?

Amanda Johnson practices at 721 Commerce Dr, Woodbury, MN 55125. The listed phone number is (763) 923-1717.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Johnson accept?

Health plans from HealthPartners list Amanda Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.