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MATTHEW JOHANSEN MS, LCPC, QSUDP
NPI 1487066320
Counselor - Mental Health in Meridian, ID

Active since May 27, 2014
2131 S BONITO WAY, MERIDIAN, ID 83642(208) 202-4729 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Johansen Ms, Lcpc, Qsudp NPPES

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

MATTHEW JOHANSEN MS, LCPC, QSUDP (NPI 1487066320) is an individual mental health provider in Meridian, Idaho, licensed in Idaho (LCPC-6475) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1487066320
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW JOHANSENCredential: MS, LCPC, QSUDP
Location Address2131 S BONITO WAYMeridian, ID 83642-1659
Mailing Address6407 W Robertson DrBoise, ID 83709-2176 · (208) 836-8247
Phone(208) 202-4729
Sole ProprietorNo
Enumeration DateMay 27, 2014
Last NPPES UpdateFebruary 22, 2019
✔ NPI 1487066320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-6475
2131 S BONITO WAY, Meridian, ID 83642
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Other Providers at the Same Location NPPES 12

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

HBS OF MERIDIAN, LLC
Psychiatric Hospital
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 202-4700
HAMPTON ROADS MEDICAL SPECIALISTS PC
Internal Medicine (Infectious Disease)
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 489-9500
CONTINUUM CARE PROVIDERS OF IDAHO, LLC
Psychiatry & Neurology (Psychiatry)
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 202-4700
BOISE INTENSIVE CARE HOSPITAL INC
Long Term Care Hospital
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (877) 801-2244
CLARISSA LAUGHLIN LCSW
Social Worker (Clinical)
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 202-4730
DARIAN ROBBINS OTA
Occupational Therapy Assistant
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 489-9500
DR. STEPHEN LLOYD GREEN M.D.
Hospitalist
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 489-9500
ELIZABETH MEDINA BSN,RN
Registered Nurse
2131 S BONITO WAY
MERIDIAN, ID 83642
Ada County (208) 202-4700

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 Matthew Johansen's NPI number?

The NPI number for Matthew Johansen is 1487066320. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Matthew Johansen located?

Matthew Johansen practices at 2131 S Bonito Way, Meridian, ID 83642. The listed phone number is (208) 202-4729.

What is Matthew Johansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Johansen was last updated on February 22, 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.