Nicole M. Johnson, Psyd, Lp, LLC
NPI 1649893587 · Clinical Psychologist · Burnsville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole M. Johnson, Psyd, Lp, LLC is a Clinical Psychologist organization in Burnsville, MN (NPI 1649893587).
Provider details
- NPI number
- 1649893587
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nicole M. Johnson Lp, Owner/Licensed Psychologist(612) 249-0287
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- River Vale Psychology Clinic
- Doing business as
- River Vale Psychology Clinic
Additional practice locations (1)
- 200 E Travelers Trl Ste 205Burnsville, MN 55337-4191Phone: (952) 454-8269
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Frequently asked questions
- What is Nicole M. Johnson, Psyd, Lp, LLC's NPI number?
- Nicole M. Johnson, Psyd, Lp, LLC's National Provider Identifier (NPI) is 1649893587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicole M. Johnson, Psyd, Lp, LLC?
- Nicole M. Johnson, Psyd, Lp, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Nicole M. Johnson, Psyd, Lp, LLC located?
- Nicole M. Johnson, Psyd, Lp, LLC's practice location on file with NPPES is 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191.
- What is Nicole M. Johnson, Psyd, Lp, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nicole M. Johnson, Psyd, Lp, LLC is (612) 249-0269.
- Does Nicole M. Johnson, Psyd, Lp, LLC accept Medicare?
- Nicole M. Johnson, Psyd, Lp, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nicole M. Johnson, Psyd, Lp, LLC?
- The authorized official listed on Nicole M. Johnson, Psyd, Lp, LLC's NPPES record is Nicole M. Johnson Lp, Owner/Licensed Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicole M. Johnson, Psyd, Lp, LLC's NPI active?
- Yes — Nicole M. Johnson, Psyd, Lp, LLC's NPI (1649893587) is active in the NPPES registry as of the last update on 2020-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.