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

Dr. Nicole Marie Johnson

Individual provider Clinical Psychologist · NPI 1750868212

Dr. Nicole Marie Johnson is a Clinical Psychologist in Burnsville, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 E Travelers Trl Ste 205
Burnsville, MN 55337-4191
Phone: (612) 249-0269
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4660 Slater Rd Ste 210, Eagan, MN 55122 — (612) 540-5108

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6452 (MN)

Record details

NPI number1750868212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

Other providers in Burnsville