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

Dr. Courtney E Johnson, PHD

Individual provider Clinical Psychologist · NPI 1881764355

Dr. Courtney E Johnson, PHD is a Clinical Psychologist in Olympia, Washington. Qualified in 1997, 29 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Kansas and Washington.

Years since qualifying
29
Licensed in
KS, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5137 Blacktail Ct NE
Olympia, WA 98516-2136
Phone: (316) 337-5432
Fax: (316) 337-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 61442566 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP1011 (KS)
Psychologist Taxonomy 103T00000X · Licence LP1011 (KS)
Psychologist Taxonomy 103T00000X · Licence 61442566 (WA)

Record details

NPI number1881764355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJanuary 20, 2024
Certification dateJanuary 20, 2024
Mailing address1420 Marvin Rd Ne Ste C313, Lacey, WA 98516-3878

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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