Individual provider · Type 1 NPI

Nicole Johnson, LPC, LMFT

Marriage & Family Therapist · Kenosha, WI

NPI number 1104901263 Active

Practice location

6121 Green Bay Rd, Suite 230
Kenosha, WI 53142-2926

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2882-125 (WI)
Marriage & Family Therapist Primary 106H00000X635-124 (WI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104901263

Nicole Johnson, LPC, LMFT's National Provider Identifier is 1104901263, issued on Oct 26, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 11, 2025.