CARL EUGENE JOHNSON III


Address: 125 S Main Cross St, Louisa, KY 41230-1065
Phone: 6066390938

CARL EUGENE JOHNSON III (NPI# 1104424183) 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) 1104424183
Entity Type Individual
Full Name CARL EUGENE JOHNSON III
Credential PSS
Practice Address 125 S Main Cross St
Louisa
KY 41230-1065
Practice Telephone 6066390938
Practice Fax Number 8598135394
Mailing Telephone 6066390938
Mailing Fax Number 8598135394
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers CARL JOHNSON

NPI Name Taxonomy Address Enumeration
1720362288 Carl Johnson Contractor 101 S 12th St, Mcalester, OK 74501-5656 2011-10-03
1356572440 Carl Edward Johnson Social Worker 1537 W Adams St, #2r, Chicago, IL 60607-2451 2009-08-06
1083878490 Carl R Johnson Pharmacist 524 Dean Hall Ct, Mt Pleasant, SC 29464-6204 2008-07-15
1205044369 Carl Joseph Johnson Dentist 7241 Owensmouth Ave, Canoga Park, CA 91303-1530 2007-05-20
1700908670 Carl Allen Johnson Dermatology 2610 Blossom St, Columbia, SC 29205-2308 2007-04-04
1427183847 Carl Frederick Johnson Marriage & Family Therapist 2200 Century Parkway, Suite 200, Atlanta, GA 30345-3103 2007-02-23
1912063652 Carl Austin Johnson Physical Therapist 285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 2006-12-28
1437264033 Carl L Johnson Internal Medicine 5320 W 12th St, Little Rock, AR 72204 2006-08-21
1144237215 Carl E Johnson Internal Medicine 87 Herrick St, Beverly, MA 01915-2773 2006-08-02
1487679684 Carl E Johnson Pathology 24 Las Praderas Dr, San Luis Obispo, CA 93401-7410 2006-07-12

Office Location

Street Address 125 S MAIN CROSS ST
City LOUISA
State KY
Zip Code 41230-1065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154415594 Amanda Slone Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2006-10-02
1124629282 Brittany Baker Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-11-05
1750981296 Ashlee Nicole Clemmons Registered Nurse 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-26
1740889526 Timothy Carter Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-22
1447858428 Nancy Lynn Pelfrey Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-13
1497352983 Aquarius Dion Young Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-07
1760089254 John Kevin Schmidt Jr. Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-07
1841897519 Patrick Michael Fogarty Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-06
1942817622 Seth Patrick Myers Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-09-28
1154936250 Dustin Hiram Cornett Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-09-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811533599 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 105-107 E Madison St., Louisa, KY 41230 2019-11-18
1780236570 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 1640 Jerushia Branch Rd., Booneville, KY 41230 2019-07-11
1922528272 Samantha Paige Stanley Peer Specialist 221 Windy Hill Drive, Louisa, KY 41230 2017-06-27
1407393457 Chandra D Blevins Peer Specialist 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 2017-01-30
1033654876 Amanda Hurley Peer Specialist 125 N. Main Cross Street, Louisa, KY 41230 2017-01-04
1780127753 Dakota Williams Peer Specialist 125 N Cross Main St, Louisa, KY 41230 2016-11-23
1568905529 Tara Runyon Peer Specialist 125 N Main Cross Street, Louisa, KY 41230 2016-11-23
1134575624 Misty Howell I Peer Specialist 125 S. Main Cross Street, Louisa, KY 41230 2016-05-13
1720404478 Louisa Dental Care Dentist 203 S. Water St, Louisa, KY 41230 2014-03-05
1326336728 Elite Chiropractic Psc Chiropractor 4347 Highway 2565, Louisa, KY 41230 2011-07-19
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548861842 Odell Levi Dixon Peer Specialist 105 S Main Cross St, Louisa, KY 40517 2020-11-03
1922528272 Samantha Paige Stanley Peer Specialist 221 Windy Hill Drive, Louisa, KY 41230 2017-06-27
1407393457 Chandra D Blevins Peer Specialist 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 2017-01-30
1033654876 Amanda Hurley Peer Specialist 125 N. Main Cross Street, Louisa, KY 41230 2017-01-04
1780127753 Dakota Williams Peer Specialist 125 N Cross Main St, Louisa, KY 41230 2016-11-23
1568905529 Tara Runyon Peer Specialist 125 N Main Cross Street, Louisa, KY 41230 2016-11-23
1518313014 Latasha Leighann Byrd Peer Specialist 3651 Us Highway 2565, Louisa, KY 41320 2016-05-13
1134575624 Misty Howell I Peer Specialist 125 S. Main Cross Street, Louisa, KY 41230 2016-05-13
1942655766 Ashlea Leslie Peer Specialist 3651 Highway 2565, Louisa, KY 41230-5018 2016-04-29
1225483019 Sara Young I Peer Specialist 2135 Highway 1185, Louisa, KY 41230-7968 2016-04-28
Find all providers in LOUISA

Competitor

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City LOUISA
Zip Code 41230

Improve Information

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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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