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MIRANDA JOHANSSON
NPI 1235688912
Counselor in Bethel, AK

Active since September 23, 2016
1360 CALISTA DRIVE, BETHEL, AK 99559(907) 543-6830 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda Johansson NPPES

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

MIRANDA JOHANSSON (NPI 1235688912) is an individual counselor in Bethel, Alaska and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1235688912
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMIRANDA JOHANSSON
Location Address1360 CALISTA DRIVEBethel, AK 99559-0528
Mailing AddressPo Box 528, Attn: Bh Sobering CenterBethel, AK 99559-0528 · (907) 543-6830
Phone(907) 543-6830
Sole ProprietorNo
Enumeration DateSeptember 23, 2016
✔ NPI 1235688912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1360 CALISTA DRIVE, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

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.

SAMUEL MOSES
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
SVEN CLARENCE WILLIAMS
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
JEREMY MALVICH
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
MICHAEL RICHARD THOMAS
Counselor
1360 CALISTA DRIVE, BH SOBERING CENTER
BETHEL, AK 99559
Bethel (907) 543-6830
RITCHIE HALL
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
LEONA JOHANSSON
Case Manager/Care Coordinator
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
CAROL HELENA EVON
Counselor
1360 CALISTA DRIVE, BH SOBERING CENTER
BETHEL, AK 99559
Bethel (907) 543-6830
RAQUELLE MARIAH DEGROTE
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830

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 Miranda Johansson's NPI number?

The NPI number for Miranda Johansson is 1235688912. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Miranda Johansson located?

Miranda Johansson practices at 1360 Calista Drive, Bethel, AK 99559. The listed phone number is (907) 543-6830.

What is Miranda Johansson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Miranda Johansson was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.