VIVIAN JOHNSON (NPI# 1114561370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114561370 |
| Entity Type | Individual |
| Full Name | VIVIAN JOHNSON |
| Credential | MS |
| Practice Address |
3776 Youree Dr Shreveport LA 71105-2132 |
| Mailing Address |
Po Box 8503 Shreveport LA 71148-8503 |
| Practice Telephone | 3186703159 |
| Mailing Telephone | 2818517681 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474859 | Vivian Johnson | Community/Behavioral Health | 1654 Amberwood Dr Apt E, South Pasadena, CA 91030-1929 | 2019-06-05 |
| 1396035002 | Vivian A Johnson | Registered Nurse | 43 Locust Ave S, Medford, NY 11763-1664 | 2011-04-14 |
| 1376876425 | Vivian Yvette Johnson | Marriage & Family Therapist | 150 Old Liberty Road, Gloster, MS 39638 | 2009-09-08 |
| 1811127038 | Vivian Tina Johnson | Counselor | 538 Rt 25a, Suite 5, Rocky Point, NY 11778-9089 | 2009-07-22 |
| 1497966378 | Vivian Johnson | Internal Medicine | 5104 Burns St, Detroit, MI 48213-5914 | 2007-05-24 |
| 1770115024 | Vivian Johnson | Social Worker | 300 Biddle Ave Ste 207, Newark, DE 19702-3972 | 2020-02-05 |
| 1992352207 | Vivian Johnson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-08-21 |
| 1467998476 | Vivian Johnson | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2017-01-13 |
| 1306121819 | Vivian Maxine Johnson | Pharmacist | 3822 Old Spanish Trl, Houston, TX 77021-1340 | 2011-10-15 |
| 1124208897 | Vivian Chonita Johnson | Occupational Therapy Assistant | 4343 Ashland City Hwy, Nashville, TN 37218-2401 | 2007-11-09 |
| Street Address |
3776 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174060073 | Creola Reese | Case Manager/Care Coordinator | 3776 Youree Dr, Shreveport, LA 71105-2132 | 2017-01-30 |
| 1689297046 | Willie Jefferson | Counselor | 3776 Youree Dr, Shreveport, LA 71105-2132 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on VIVIAN JOHNSON.
| 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.