Individual provider · Type 1 NPI

Jeremiah Elisha Johnson

Specialist · Minot, ND

NPI number 1689539595 Active

Practice location

100 Main St S
Minot, ND 58701-3914

Call (904) 303-4606 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Counselor 101Y00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689539595

Jeremiah Elisha Johnson's National Provider Identifier is 1689539595, issued on Dec 23, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Minot, ND. The record was last updated on Jan 6, 2026.