Alisa R. Johnson, LPCC
NPI 1598475212ActiveIndividual· Counselor, Professional· Willmar, MN
Counselor, Professional (LPCC) with Ametrine Mental Health PLLC and 1 other group, practicing in Willmar, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1598475212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | Yes |
| NPI issued | Dec 5, 2022 |
| Last updated in NPPES | Dec 5, 2022 |
| Certified by provider | Dec 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 3612 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical groups
- Ametrine Mental Health PLLCSpicer, MN · 5 clinicians
- Community Outreach Counseling PCWillmar, MN · 3 clinicians
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All 38 professional counselors in Willmar · All professional counselors in Minnesota