Healthcare Provider Details

I. General information

NPI: 1558572420
Provider Name (Legal Business Name): MONICA CRYSTAL JOHNSON LMHP LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SOUTH 13TH STREET
NORFOLK NE
68701
US

IV. Provider business mailing address

600 S 13TH ST
NORFOLK NE
68701-4957
US

V. Phone/Fax

Practice location:
  • Phone: 402-370-3140
  • Fax: 402-370-3373
Mailing address:
  • Phone: 402-370-3140
  • Fax: 402-370-3373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: