NPI age
— years
Enumerated 2025-06-23
● Active
Type 1 · Individual
Amanda Medrano Johnson, LPC
Johnson is 1 of 4 counselor providers in Shelley and 1 of 1998 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-06Enumerated in NPPES
2025
2026
Where they practice
Practice location
715 Twilight Dr
Shelley, ID 832741409
Mailing address
715 Twilight Dr
Shelley, ID 832741409
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx · Custom healthcare lists
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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