REGINALD JOHNSON


Address: 7024 Woodside Dr, Indianapolis, IN 46260-3979
Phone: 3178500615

REGINALD JOHNSON (NPI# 1043728447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043728447
Entity Type Individual
Full Name REGINALD JOHNSON
Other Name REGGIE JOHNSON
Practice Address 7024 Woodside Dr
Indianapolis
IN 46260-3979
Practice Telephone 3178500615
Enumeration Date 2018-01-19
Last Update Date 2018-01-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
10127669 IN Behavioral Health & Social Service Providers

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1700091691 Reginald Antwan Johnson Counselor 5707 N 22nd St, Tampa, FL 33610-4350 2007-05-14
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1720136245 Reginald A Johnson Physical Therapy Assistant 711 Avignon Dr, Ridgeland, MS 39157-5120 2007-01-08

Office Location

Street Address 7024 WOODSIDE DR
City INDIANAPOLIS
State IN
Zip Code 46260-3979

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477116986 Angela M Fisher Counselor 5109 N College Ave, Indianapolis, IN 46205-1135 2019-04-19
1730613035 Stacey Frye Counselor 646 Jefferson Ave, Indianapolis, IN 46201-2032 2017-04-13
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1326409129 Fieldwork Services LLC Counselor 55 S State Ave Ste 373, Indianapolis, IN 46201-3898 2016-03-08
1235509027 Angela Weaver Counselor 8525 Sarasota Ct, Indianapolis, IN 46219-2531 2015-10-06
1326461252 Shobha Pais Counselor 8443 Crown Point Rd, Indianapolis, IN 46278-9702 2014-01-29
1326369547 Barbara E Reed Counselor 7845 Harshaw Dr, Indianapolis, IN 46239-8588 2010-06-22
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1942442645 Shirley Ann Hudson Counselor 3401 N Meridian St, Suite 176, Indianapolis, IN 46208-4436 2009-03-27
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

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.

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