MEDICARE: LISA E. JOHNSON LMHC

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	MH 4835	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z9306	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1518900067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA E. JOHNSON LMHC

Provider Business Mailing Address
First Line	:	3112 17TH ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6021
Country	:	US
Telephone Number	:	407-957-4176
Fax Number	:	407-957-4359

Provider Business Practice Location Address
First Line	:	3112 17TH ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6021
Country	:	US
Telephone Number	:	407-957-4176
Fax Number	:	407-957-4359

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1326005018 — DAVID PAUL THORNE M.D.
Practice Location Address:

3100 17TH ST
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-892-0009
Practice Fax: 407-892-3285

1285691881 — MR. CHARLES POWERS M.D.
Practice Location Address:

3100 17TH ST STE B
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-892-0009
Practice Fax: 407-892-3285

1427007145 — DR. MARIETTA ONGAY MD
Practice Location Address:

3100 17TH ST STE B
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-908-7310
Practice Fax: 407-908-7824

1336189190 — FAMILY PRACTICE-ST CLOUD, INC.
Practice Location Address:

3100 17TH ST
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-892-0009
Practice Fax: 407-892-3285

1942307202 — MRS. LAURA LEE BROOKS ARNP
Practice Location Address:

3100 17TH ST
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-892-0009
Practice Fax:

1073600656 — DR. KIMBERLY RAE STEIN DO
Practice Location Address:

3100 17TH ST
SAINT CLOUD, FL
34769-6021

Practice Phone: 407-892-0009
Practice Fax: 407-892-3285

Directions to “ LISA E. JOHNSON LMHC” 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.