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

Miranda M Johnson

Individual provider Marriage & Family Therapist · NPI 1558958462

Miranda M Johnson is a Marriage and Family Therapist in Northfield, Minnesota. Qualified in 2018, 8 years ago. Practices with Secure Base Counseling Center LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2020
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Practice location Address checks out

570 Professional Dr
Northfield, MN 55057-2756
Phone: (507) 301-3412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 570 Professional Dr, Northfield, MN 55057-2756 — (507) 301-3412

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1558958462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2020
Last updated in NPPESDecember 26, 2020
Certification dateDecember 26, 2020
Mailing address570 Professional Dr, Northfield, MN 55057-2756

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Secure Base Counseling Center Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northfield