PORSCHE T JOHNSON (NPI# 1154813558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154813558 |
| Entity Type | Individual |
| Full Name | PORSCHE T JOHNSON |
| Practice Address |
17505 N 79th Ave Ste 410 Glendale AZ 85308-8732 |
| Mailing Address |
2649 N 73rd Dr Phoenix AZ 85035-3253 |
| Practice Telephone | 6238007980 |
| Mailing Telephone | 6023140120 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LAC-16824 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
17505 N 79TH AVE STE 410 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992209431 | Jessica Ann Van Leer | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2018-03-20 |
| 1508473042 | Stephanie Larsen Mickelsen | Social Worker | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2020-09-29 |
| 1972163202 | Edith Twitchell | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1407338379 | Henry Marshal Tyler | Counselor | 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 | 2018-09-06 |
| 1346737111 | Janet Ohanian | Counselor | 915 N Glendale Ave, Glendale, CA 91206-2130 | 2018-04-17 |
| 1881193175 | Robin Lynn Puckett | Counselor | 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 | 2018-02-01 |
| 1538667142 | Chelsea Rae Zendarski | Counselor | 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 | 2018-01-29 |
| 1487165031 | Sofia Elvira Philips | Counselor | 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 | 2017-10-21 |
| 1417301086 | Kristi Proch | Counselor | 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 | 2016-04-20 |
| 1831557065 | Arnitta Holliman | Counselor | 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 | 2016-02-02 |
| Find all providers in GLENDALE | ||||
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| 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.