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

Amanda Medrano Johnson, LPC

Individual provider Mental Health Counselor · NPI 1568359313

Amanda Medrano Johnson, LPC is a Mental Health Counselor in Shelley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

715 Twilight Dr
Shelley, ID 83274-1409
Phone: (208) 881-2658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-5672 (ID)

Record details

NPI number1568359313
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address715 Twilight Dr, Shelley, ID 83274-1409

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