MATTHEW JOHNSON BA, LADC
NPI 1639462211
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since May 16, 2011
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104(612) 326-7627(651) 645-0959 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Johnson Ba, Ladc NPPES

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

MATTHEW JOHNSON BA, LADC (NPI 1639462211) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (302661) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1639462211
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW JOHNSONCredential: BA, LADC
Location Address1706 UNIVERSITY AVE WSaint Paul, MN 55104-3614
Mailing Address1706 University Ave WSaint Paul, MN 55104-3614 · (612) 326-7627 · Fax (651) 645-0959
Fax(651) 645-0959
Sole ProprietorNo
Enumeration DateMay 16, 2011
NPI 1639462211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 302661
1706 UNIVERSITY AVE W, Saint Paul, MN 55104

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Licensed Practical Nurse
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Substance Abuse Rehabilitation Facility
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104

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 Johnson's NPI number?

The NPI number for Matthew Johnson is 1639462211. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Matthew Johnson located?

Matthew Johnson practices at 1706 University Ave W, Saint Paul, MN 55104. The listed phone number is (612) 326-7627.

What is Matthew Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.