MEDICARE: TODD JOHNSTON LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4393	MN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	300224	MN

General Provider Information

NPI Number	:	1730652256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD JOHNSTON LADC

Provider Business Mailing Address
First Line	:	11325 RHODE ISLAND AVE N
Second Line	:
City	:	CHAMPLIN
State	:	MN
Zip	:	55316-3229
Country	:	US
Telephone Number	:	612-801-0919
Fax Number	:

Provider Business Practice Location Address
First Line	:	11325 RHODE ISLAND AVE N
Second Line	:
City	:	CHAMPLIN
State	:	MN
Zip	:	55316-3229
Country	:	US
Telephone Number	:	612-801-0919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	11/12/2024

Similar Medicare Providers

1184572901 — MAGGIE MCMILLAN LGSW
Practice Location Address:

10941 RHODE ISLAND CIR N
CHAMPLIN, MN
55316-3256

Practice Phone: 218-370-8476
Practice Fax:

1518815232 — HEIDI ESTREM
Practice Location Address:

11212 MARYLAND AVE N
CHAMPLIN, MN
55316-3349

Practice Phone: 952-393-1902
Practice Fax:

1164426607 — DR. JAY PATRICK BERTSCH D.C.
Practice Location Address:

12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930

Practice Phone: 763-323-1492
Practice Fax:

1437154671 — DR. TIMOTHY THOMAS BERTSCH DC
Practice Location Address:

12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930

Practice Phone: 763-323-1492
Practice Fax:

1295731503 — DR. JOSEPH ALAN BERTSCH DC
Practice Location Address:

12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930

Practice Phone: 763-323-1492
Practice Fax: 763-422-1657

1508849530 — KAYE ANN MARIE ABEL MD
Practice Location Address:

11269 JEFFERSON HWY N
CHAMPLIN, MN
55316-3123

Practice Phone: 763-236-0600
Practice Fax: 763-236-0606

Directions to “ TODD JOHNSTON LADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.