Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa R Johnson, LPCC

Individual provider Professional Counselor · NPI 1598475212

Alisa R Johnson, LPCC is a Mental Health Counselor in Willmar, Minnesota. Qualified in 2010, 16 years ago. Practices with Ametrine Mental Health PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2022
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

217 Industrial Dr SW
Willmar, MN 56201-2989
Phone: (320) 295-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3612 (MN)

Record details

NPI number1598475212
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 3, 2022
Mailing address12706 County Road 27 Nw, Pennock, MN 56279-8510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ametrine Mental Health Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Willmar