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NPI Code Detail

MEDICARE: ASHLEY JOHNSON LPC

MEDICARE: ASHLEY JOHNSON LPC
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
1101YP2500XProfessional CounselorC1901846OH
2171M00000XCase Manager/Care Coordinator
3101YP2500XProfessional Counselor2025032756MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487140307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JOHNSON LPC
Provider Business Mailing Address
First Line : 400 N 5TH ST STE 201
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-1808
Country : US
Telephone Number : 636-202-1412
Fax Number :
Provider Business Practice Location Address
First Line : 400 N 5TH ST STE 201
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-1808
Country : US
Telephone Number : 636-202-1412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2018
Last Update Date : 12/08/2025

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Directions to “ ASHLEY JOHNSON LPC” Practice Location

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