KRISTI LEIGH JOHNSON MSW, LICSW
NPI 1497071856
Social Worker - Clinical in Forest Lake, MN

Active since April 10, 2010PECOS EnrolledAccepts Medicare Assignment
1540 LAKE ST S, FOREST LAKE, MN 55025(651) 464-7100(651) 241-1515 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Jan 11, 2020 (2 updates tracked since 2020).

About Kristi Leigh Johnson Msw, Licsw NPPES

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

KRISTI LEIGH JOHNSON MSW, LICSW (NPI 1497071856) is an individual clinical provider in Forest Lake, Minnesota, licensed in Minnesota (13281) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Louis Park, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497071856
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTI LEIGH JOHNSONCredential: MSW, LICSW
Location Address1540 LAKE ST SForest Lake, MN 55025-2628
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(651) 241-1515
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 10, 2010
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1497071856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 13281
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1540 LAKE ST S, Forest Lake, MN 55025

Secondary Practice Location 1

Location 14027 County Road 25St Louis Park, MN 55416-2629 · Phone (612) 925-6033 · Fax (612) 925-8496

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristi Leigh Johnson Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082747407
PECOS Enrollment IDI20100804001211
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Psychologist
1540 LAKE ST S
FOREST LAKE, MN 55025
Dietitian, Registered
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Podiatrist
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025
Family Medicine
1540 LAKE ST S
FOREST LAKE, MN 55025

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 Kristi Johnson's NPI number?

The NPI number for Kristi Johnson is 1497071856. It was assigned to this individual provider in the NPPES registry on April 10, 2010.

Where is Kristi Johnson located?

Kristi Johnson practices at 1540 Lake St S, Forest Lake, MN 55025. The listed phone number is (651) 464-7100.

What is Kristi Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristi Johnson enrolled in Medicare?

Yes. Kristi Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristi Johnson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.