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Tim Johnson, M.S.W., LICSW & LMFT

Marriage & Family Therapist in Lake Elmo, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154310126

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Registry record

Entity type Individual (Type 1)
Name Tim Johnson
Credential M.S.W., LICSW & LMFT
Sex Male
Practice address 8669 Eagle Point Blvd, Lake Elmo, MN, 55042
Phone (651) 379-0444
Fax (651) 379-0448
Enumeration date Oct 20, 2005
Last updated in NPPES Dec 23, 2011

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 409 (MN) Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 157 (MN) Primary

Other identifiers

Identifier Type State Issuer
563T1JO Other MN BCBS ID#
62-13403 Other MN MEDICA/UBH ID#
247927 Other MN COMPSYCH
O95457000 Other - MAGELLAN/AETNA
181557200 Medicaid MN -
69599 Other MN VALUE OPTIONS ID#
102218 Other - BHP/FAIRVIEW ID#
HP45669 Other MN HEALTH PARTNERS ID#

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tim Johnson?
The National Provider Identifier (NPI) for Tim Johnson is 1154310126, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tim Johnson practice?
The practice location on file with NPPES is in Lake Elmo, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-23.