MARISA JOHNSON (NPI# 1023596996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023596996 |
| Entity Type | Individual |
| Full Name | MARISA JOHNSON |
| Practice Address |
713 Troy Schenectady Rd Ste 224 Latham NY 12110-2490 |
| Practice Telephone | 5187823839 |
| Mailing Telephone | 5187823839 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P10412 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837826 | Marisa Lee Johnson | Social Worker | 860 Wesley Cir Apt 206, Apopka, FL 32703-8673 | 2020-06-29 |
| 1699011767 | Marisa Protasel Johnson | Registered Nurse | 17618 128th Ave Se, Renton, WA 98058-6709 | 2012-12-18 |
| 1083615520 | Marisa Johnson | Internal Medicine | 1303 Line Ave, Ste 400, Shreveport, LA 71101-4628 | 2005-08-09 |
| 1336783950 | Marisa Johnson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-11-06 |
| 1154874774 | Marisa Johnson | Physical Therapist | 10000 W 75th St, Suite 250, Merriam, KS 66204-2209 | 2016-07-31 |
| 1063811206 | Marisa Johnson | Psychologist | 737 E Hudson St, Columbus, OH 43211-1034 | 2014-08-13 |
| Street Address |
713 TROY SCHENECTADY RD STE 224 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565057 | Marian B Borgia | Social Worker | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110 | 2006-05-17 |
| 1417575242 | Samantha Rilee Kunz | Physician Assistant | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2467 | 2020-07-08 |
| 1861027088 | Allison Swiatowicz | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2020-03-09 |
| 1174163364 | Ashley Ann Bellinger | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2020-01-15 |
| 1447807631 | Jacqueline A Bove | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2019-08-22 |
| 1265086284 | Diana Carolyn Matthews | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2019-07-29 |
| 1992361976 | Alison Anne Brown | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2019-05-14 |
| 1437637147 | Corey Adams | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2018-08-03 |
| 1780124776 | Laura Marvin | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2017-02-24 |
| 1790238079 | Jason Eveleth | Counselor | 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881913 | Farinaaz Zulfekar | Counselor | 711 Troy Schenectady Rd Ste 201, Latham, NY 12110-2482 | 2020-08-11 |
| 1669017091 | Paroda Loy Decavallas | Counselor | 19 Comely Ln, Latham, NY 12110-5225 | 2019-11-08 |
| 1972164184 | Brian Matthew Gentile | Counselor | 26 Century Hill Dr, Latham, NY 12110-2128 | 2019-06-27 |
| 1457850398 | Brittany Arnold | Counselor | 4 Avis Dr Ste 100, Latham, NY 12110-2650 | 2018-02-06 |
| 1568864726 | Kevin Scott Dame | Counselor | 952 Troy Schenectady Rd Ste 132, Latham, NY 12110-1612 | 2014-09-19 |
| 1346681004 | Harley M Mcdevitt | Counselor | 8 Airport Park Blvd, Latham, NY 12110-6420 | 2013-07-10 |
| 1003972886 | Michael James Mcmahon | Counselor | 75 Alpine Dr, Latham, NY 12110-1240 | 2006-12-28 |
| 1487664082 | James Sherwood Davis Jr. | Counselor | 272 Maxwell Rd, Latham, NY 12110-4915 | 2006-08-08 |
| 1518981117 | Rocco R Pizzollo | Counselor | 117 Old Loudon Rd, Latham, NY 12110-4008 | 2006-07-27 |
| 1760081343 | Brittany Galipeau | Counselor | 4 Avis Dr Ste 101, Latham, NY 12110-2650 | 2020-10-23 |
| Find all providers in LATHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.