MS. CAROL MARTIN JOHNSON


Address: 4708 Kingsessing Ave, Philadelphia, PA 19143-3819
Phone: 2157291297

MS. CAROL MARTIN JOHNSON (NPI# 1114363140) 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) 1114363140
Entity Type Individual
Full Name MS. CAROL MARTIN JOHNSON
Credential MA, ATR-BC, LPC
Practice Address 4708 Kingsessing Ave
Philadelphia
PA 19143-3819
Practice Telephone 2157291297
Mailing Telephone 2157291297
Enumeration Date 2013-05-16
Last Update Date 2013-11-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC004304 PA Behavioral Health & Social Service Providers
N 163W00000X Registered Nurse RN264361L PA Nursing Service Providers

Other Providers CAROL JOHNSON

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1467799932 Carol Lasuane Johnson Home Health 239 Charles Towne Ct, Columbia, SC 29209-3075 2013-01-03
1356691869 Carol Louise Johnson Counselor 331 Southeast 2nd Street, Pendleton, OR 97838 2012-09-12
1568711679 Carol Johnson Social Worker 63 Third St., Mansfield, PA 16933-0063 2012-09-05
1427337344 Carol Marsh Johnson Occupational Therapist 795 Crown St, Apt # 2f, Brooklyn, NY 11213-5864 2011-08-09
1487945960 Carol Ann Johnson Contractor 2054 N Thornton Rd, Space 105, Casa Grande, AZ 85122-7853 2011-05-02
1538480819 Carol Johnson Registered Nurse 467 Waynesboro Hwy, Waynesboro, TN 38485-6200 2010-06-21
1457594418 Carol Ann Johnson Case Manager/Care Coordinator 186 Honeysuckle St, Casper, WY 82604-4042 2009-04-07

Office Location

Street Address 4708 KINGSESSING AVE
City PHILADELPHIA
State PA
Zip Code 19143-3819

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19143

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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