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

Matthew Johansen, MS, LCPC, QSUDP

Individual provider Mental Health Counselor · NPI 1487066320

Matthew Johansen, MS, LCPC, QSUDP is a Mental Health Counselor in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2131 S Bonito Way
Meridian, ID 83642-1659
Phone: (208) 202-4729
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-6475 (ID)

Record details

NPI number1487066320
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCPC , QSUDP
Sole proprietorNo
NPI enumeratedMay 27, 2014
Last updated in NPPESFebruary 22, 2019

Other providers in Meridian