Jeremiah Johnson

NPI 1669027066 · on the registry since 2019 · sole proprietor

Practice

Address: 5215 N Ironwood Rd Ste 202
Glendale, WI 53217
Phone: (715) 903-6444
Organisation at this address: Ifast, Llc
Therapized Llc
Wi Cbt Center Llc
Connectogether Llc
Miracle Beginnings Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin