Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Johnson, LPC, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396523437

Matthew Johnson, LPC, SAC-IT is an Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1622 Chestnut St
West Bend, WI 53095-3014
Phone: (262) 306-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11882-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20000-130 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 7352-226 (WI)

Record details

NPI number1396523437
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , SAC-IT
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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