Individual provider · Type 1 NPI

Nikki K. Johansen

Mental Health Counselor · Pocatello, ID

NPI number 1245118728 Active

Practice location

409 Washington Ave
Pocatello, ID 83201-4520

Call (208) 234-2646 Map

Mailing address

331 N 400 W
Blackfoot, ID 83221-5472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4481312 (ID)

Mental Health Counselor: Definition to come...

11 other providers at this address

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About NPI 1245118728

Nikki K. Johansen's National Provider Identifier is 1245118728, issued on Aug 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Oct 15, 2026.