Provider Demographics
NPI:1841218427
Name:JOHNSON, STEVEN LEE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LEE
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-0959
Mailing Address - Country:US
Mailing Address - Phone:715-544-4435
Mailing Address - Fax:800-681-2374
Practice Address - Street 1:3233A BUSINESS PARK DR STE 304
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54482-8861
Practice Address - Country:US
Practice Address - Phone:715-544-4435
Practice Address - Fax:715-952-4995
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3180-125101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI62743OtherMULTIPLAN/WPPN
138137OtherMANAGED HEALTH NETWORK
WI79453OtherSECURITY HEALTH PLAN
526825OtherVALUEOPTIONS
WI40934000Medicaid
2180399OtherCIGNA BEHAVIORAL HEALTH
391640073002OtherTRICARE