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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MEDRANO JOHNSON, LPC

Active Sole Proprietor

AMANDA MEDRANO JOHNSON, LPC is a Mental Health Counselor healthcare provider located in SHELLEY, Idaho. NPI 1568359313 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SHELLEY, ID

Registration Details

NPI Number
1568359313
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2025 (1.1158999055141 yrs)
Last Updated
Jun 23, 2025
License
LPC-5672 (ID)
Sole Proprietor
Yes

Practice Information

Address
715 TWILIGHT DR
SHELLEY, ID, 832741409
Browse ID providers · Browse ZIP 83274
Phone
2088812658
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SHELLEY, ID

Name Credential NPI
MADISON KNOWLES MS, LMHC, LPC, LCPC 1346519931
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.