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

Nikolaus Johnson

Individual provider Professional Counselor · NPI 1134508575

Nikolaus Johnson is a Mental Health Counselor in Springfield, Missouri. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3050 S National Ave Ste 104
Springfield, MO 65804-4242
Phone: (417) 597-4572
Fax: (417) 882-1507
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

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 78405 (TX)

Record details

NPI number1134508575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address3050 S National Ave Ste 104, Springfield, MO 65804-4242

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield