AMY EDWARDSON JOHANNESEN M.A., LPC, LMHC
NPI 1780077610
Counselor - Professional in Lewiston, ID

Q: What is Amy Johannesen's NPI number?

The NPI number for Amy Johannesen is 1780077610. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Q: What is Amy Johannesen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Amy Johannesen was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 17, 2015

504 MAIN ST, STE. 444, LEWISTON, ID 83501(208) 750-3000(208) 750-1244 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Edwardson Johannesen M.a., Lpc, Lmhc NPPES

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

AMY EDWARDSON JOHANNESEN M.A., LPC, LMHC (NPI 1780077610) is an individual professional provider in Lewiston, Idaho, licensed in Idaho (LPC-5580) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1780077610

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMY EDWARDSON JOHANNESENCredential: M.A., LPC, LMHC

Location Address504 MAIN ST, STE. 444Lewiston, ID 83501-1803

Mailing Address504 Main St, Ste. 444Lewiston, ID 83501-1803 · (208) 750-3000 · Fax (208) 750-1244

Phone(208) 750-3000

Fax(208) 750-1244

Sole ProprietorNo

Enumeration DateMarch 17, 2015

✔ NPI 1780077610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-5580

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH00005257 (WA)

504 MAIN ST, Lewiston, ID 83501

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Other Providers at the Same Location NPPES 3

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

FRALEY & ASSOCIATES, PLLC

Community/Behavioral Health

504 MAIN ST, SUITE 422
LEWISTON, ID 83501

Nez Perce County (509) 710-8171

STEPHANIE LYNN RUGGIERO-BODDEN LMSW

Counselor (Mental Health)

504 MAIN ST, SUITE 444
LEWISTON, ID 83501

Nez Perce County (208) 750-3000

MUNA CROOK

Counselor

504 MAIN ST, SUITE 444
LEWISTON, ID 83501

Nez Perce County (208) 750-3000

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 Amy Johannesen's NPI number?

The NPI number for Amy Johannesen is 1780077610. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Amy Johannesen located?

Amy Johannesen practices at 504 Main St Ste. 444, Lewiston, ID 83501. The listed phone number is (208) 750-3000.

What is Amy Johannesen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amy Johannesen was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.