Provider Demographics
NPI:1548912637
Name:JOHNSON, BRIANA MAHONEY (MA, LPC, LAC)
Entity type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:MAHONEY
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA, LPC, LAC
Other - Prefix:MS
Other - First Name:BRIANA
Other - Middle Name:SUZANNE
Other - Last Name:MAHONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 S CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3502
Mailing Address - Country:US
Mailing Address - Phone:720-797-9900
Mailing Address - Fax:
Practice Address - Street 1:1801 S CLAYTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3502
Practice Address - Country:US
Practice Address - Phone:720-797-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000852101YA0400X
COLPC.0012940101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)