Healthcare Provider Details

I. General information

NPI: 1437353885
Provider Name (Legal Business Name): HELEN B. JOHNSON CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2069 N MAIN ST STE 101
CEDAR CITY UT
84721-5602
US

IV. Provider business mailing address

PO BOX 2041
CEDAR CITY UT
84721-2041
US

V. Phone/Fax

Practice location:
  • Phone: 435-590-4411
  • Fax: 435-867-1199
Mailing address:
  • Phone: 435-590-4411
  • Fax: 435-865-9123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number343853-6004
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier90196
Identifier TypeOTHER
Identifier StateUT
Identifier IssuerPEHP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: