IndividualActive
Nicole Johnson
NPI 1750868212 · Clinical Psychologist · Burnsville, MN
Provider details
- NPI number
- 1750868212
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LP6452 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
200 E Travelers Trl Ste 205
Burnsville, MN 55337-4191
Phone: (612) 249-0269
Street-level locationGet directions
Mailing address
200 E Travelers Trl Ste 205
Burnsville, MN 55337-4191
Additional practice locations (1)
- 4660 Slater Rd Ste 210Eagan, MN 55122Phone: (612) 540-5108
Registry dates
- Enumerated
- 2018-07-26
- Last updated
- 2020-09-11
- Certified
- 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.