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MR. SHANNON EMMANUEL JOHNSON PSYCHOTHERAPIST
NPI 1902431935
Counselor - Mental Health in Milwaukee, WI

Active since March 10, 2020
4001 W CAPITOL DR, MILWAUKEE, WI 53216(414) 455-3879(866) 719-3024 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shannon Emmanuel Johnson Psychotherapist NPPES

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

MR. SHANNON EMMANUEL JOHNSON PSYCHOTHERAPIST (NPI 1902431935) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (130697-121) and active in the NPI registry since March 2020. He maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1902431935
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHANNON EMMANUEL JOHNSONCredential: PSYCHOTHERAPIST
Location Address4001 W CAPITOL DRMilwaukee, WI 53216-2530
Mailing Address4001 W Capitol DrMilwaukee, WI 53216-2530 · (414) 455-3879 · Fax (866) 719-3024
Phone(414) 455-3879
Fax(866) 719-3024
Sole ProprietorYes
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1902431935 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 WI · 130697-121
4001 W CAPITOL DR, Milwaukee, WI 53216
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Secondary Practice Location 1

Location 1400 W Capitol DrMilwaukee, WI 53216 · Phone (414) 455-3879 ext. 810 · Fax (866) 719-3024

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.

MATTHEW LEE VELISSARIS
Counselor
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 759-5193
YASMINE MICHELLE MORTON
Counselor
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 455-3879
CHANDRA COOPER
Counselor (Professional)
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 501-7312
BRITTANY MAHLBERG MS, LPC-IT, QTT
Counselor (Mental Health)
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 455-3879
KATIE CAMILLE MCCLAIN
Social Worker (Clinical)
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 455-3879
ALYSSA ADDICKS
Social Worker (Clinical)
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 455-3879
SHALITA WILLIAMS
Counselor (Professional)
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 810-6691
TAMMIE GOLDEN MS LPC IT SAC IT QTT
Social Worker
4001 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 810-6691

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 Shannon Johnson's NPI number?

The NPI number for Shannon Johnson is 1902431935. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Shannon Johnson located?

Shannon Johnson practices at 4001 W Capitol Dr, Milwaukee, WI 53216. The listed phone number is (414) 455-3879.

What is Shannon Johnson'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 Shannon Johnson was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.