MS. DEIDRE JENAE JOHNSON ATC, LAT
NPI 1912470089
Counselor in Seattle, WA

Active since January 10, 2019
515 3RD AVE, SEATTLE, WA 98104(206) 464-1570 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2025, Sep 29, 2021, Jan 10, 2019 (3 updates tracked since 2019).

About Ms. Deidre Jenae Johnson Atc, Lat NPPES

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

MS. DEIDRE JENAE JOHNSON ATC, LAT (NPI 1912470089) is an individual counselor in Seattle, Washington and active in the NPI registry since January 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912470089
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. DEIDRE JENAE JOHNSONCredential: ATC, LAT
Location Address515 3RD AVESeattle, WA 98104-2304
Mailing Address119 Glennwood Pl NeRenton, WA 98056-5807 · (206) 931-8776
Sole ProprietorNo
Enumeration DateJanuary 10, 2019
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1912470089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License A161196040 (WA)
515 3RD AVE, Seattle, WA 98104

Secondary Practice Locations 2

Location 115810 39th Pl S Apt B13Tukwila, WA 98188-2657 · Phone (206) 931-8776
Location 213425 SE 30th St Ste 2CBellevue, WA 98005-4450 · Phone (425) 800-4488 · Fax (425) 201-2380

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.

Case Manager/Care Coordinator
515 3RD AVE
SEATTLE, WA 98104
Counselor
515 3RD AVE
SEATTLE, WA 98104
Student in an Organized Health Care Education/Training Program
515 3RD AVE
SEATTLE, WA 98104
Peer Specialist
515 3RD AVE
SEATTLE, WA 98104
Counselor
515 3RD AVE
SEATTLE, WA 98104
Social Worker
515 3RD AVE
SEATTLE, WA 98104
Case Manager/Care Coordinator
515 3RD AVE
SEATTLE, WA 98104
Counselor
515 3RD AVE
SEATTLE, WA 98104

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 Deidre Johnson's NPI number?

The NPI number for Deidre Johnson is 1912470089. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Deidre Johnson located?

Deidre Johnson practices at 515 3rd Ave, Seattle, WA 98104. The listed phone number is (206) 464-1570.

What is Deidre Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Deidre Johnson was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.