TRISCILLA D'ANNE JOHNSON (NPI# 1124646799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124646799 |
| Entity Type | Individual |
| Full Name | TRISCILLA D'ANNE JOHNSON |
| Credential | LPC-MHSP |
| Practice Address |
152 Timber Creek Dr Ste 4 Cordova TN 38018-4237 |
| Practice Telephone | 9014989126 |
| Mailing Telephone | 9014989126 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4661 | TN | Behavioral Health & Social Service Providers |
| Street Address |
152 TIMBER CREEK DR STE 4 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1467956573 | Jaimie Lee Walker | Counselor | 52 Timber Creek Dr, Cordova, TN 38018-4369 | 2018-03-22 |
| 1922512441 | Fredrick Gillam Jr. | Counselor | 815 Exocet Dr Ste 107, Cordova, TN 38018-2257 | 2017-11-20 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1881950707 | August Geeter | Counselor | 8601 Pantherburn Trce, Cordova, TN 38018-3582 | 2012-04-04 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1780859678 | Septuri Uhurubey | Counselor | 2751 N Rockcreek Pkwy, Cordova, TN 38016-4653 | 2008-04-23 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1437374824 | John C Sample | Counselor | 23616 157th Ave N, Cordova, IL 61242-9771 | 2007-04-13 |
| 1376609602 | Lawrence Lynn Semrau | Counselor | 800 N Houston Levee Rd, Cordova, TN 38018-6614 | 2006-12-29 |
| Find all providers in CORDOVA | ||||
Please comment or provide details below to improve the information on TRISCILLA D'ANNE 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.