Jan J. Wahl Johnson , LADC
Physician β’ Backus, MN
222 Carpenter St
Backus, MN 564352209
Phone: 2189473543
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of January 31, 2022; the reason is not published. The records below are historical. They do not show whether Jan Wahl Johnson currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
222 Carpenter St
Backus, MN 564352209
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Compared with the same specialty in Backus and Minnesota
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 324500000X
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of January 31, 2022; the reason is not published.
NPI status registered as active in NPPES database
Registered at 222 CARPENTER ST, BACKUS, MN 564352209 (Tel: 2189473543)
Registered at 222 CARPENTER ST, BACKUS, MN 564352209 (Tel: 2189473543)
Recorded as JAN WAHL JOHNSON, LADC
Substance Abuse Rehabilitation Facility
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
222 Carpenter St
Backus, MN 564352209
Phone: 2189473543