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

Itina V Johnson, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255949723

Itina V Johnson, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1409 Emil St Ste 100
Madison, WI 53713-2311
Phone: (608) 283-6426
Fax: (608) 283-6374
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19618-130 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1255949723
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

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