Individual provider · Type 1 NPI

Breanna Johnson, LPC

Professional Counselor · Raymore, MO

NPI number 1780363192 Active

Practice location

1010 Remington Plz
Raymore, MO 64083-8640

Fax (816) 318-8865

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2026043149 (MO)
Professional Counselor 101YP2500X05516 (KS)
Professional Counselor 101YP2500X178023392 (IL)
Professional Counselor 101YP2500X178033272 (IL)

Professional Counselor: Definition to come...

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About NPI 1780363192

Breanna Johnson, LPC's National Provider Identifier is 1780363192, issued on Jul 13, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raymore, MO. The record was last updated on Sep 10, 2026.