MADISON SAMANTHA JOHNSON
NPI 1609494830
Counselor in Olympia, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since July 14, 2020

711 STATE AVE NE, OLYMPIA, WA 98506(360) 481-4565 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2021, Jul 14, 2020 (2 updates tracked since 2020).

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About Madison Samantha Johnson NPPES

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

MADISON SAMANTHA JOHNSON (NPI 1609494830) is an individual counselor in Olympia, Washington, licensed in Washington (CG61177156) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1609494830

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMADISON SAMANTHA JOHNSON

Location Address711 STATE AVE NEOlympia, WA 98506-3984

Mailing Address711 State Ave NeOlympia, WA 98506-3984

Phone(360) 481-4565

Sole ProprietorYes

Enumeration DateJuly 14, 2020

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1609494830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CG61177156

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

711 STATE AVE NE, Olympia, WA 98506

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