Samantha Rose Johnson, M.ED
NPI 1235966607ActiveIndividual· Counselor, Professional· New Richmond, WI
Counselor, Professional (M.ED) with Family Therapy Associates LLC, practicing in New Richmond, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1235966607 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED |
| Sole proprietor | No |
| NPI issued | Sep 18, 2024 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 12615-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Family Therapy Associates LLCSaint Croix Falls, WI · 29 clinicians
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