LYDIA JOHNSON


Address: 20700 Watertown Rd, Suit 102, Waukesha, WI 53186-1800
Phone: 2627821474

LYDIA JOHNSON (NPI# 1194076604) 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) 1194076604
Entity Type Individual
Full Name LYDIA JOHNSON
Credential M.A.,L.P.C., A.T.R.
Practice Address 20700 Watertown Rd
Suit 102
Waukesha
WI 53186-1800
Mailing Address 2979 N 53rd St
Milwaukee
WI 53210-1616
Practice Telephone 2627821474
Practice Fax Number 2627821441
Enumeration Date 2012-09-24
Last Update Date 2012-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
4887-125 WI Behavioral Health & Social Service Providers

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1588218747 Lydia Lajoyce Johnson Licensed Vocational Nurse 10610 Hwy 59 N, Woodlawn, TX 75694 2019-07-26
1679573745 Lydia Jones Johnson Dermatology 9109 Stony Point Dr, Richmond, VA 23235-1979 2005-07-29
1225489461 Lydia Johnson Specialist/Technologist 9200 University Blvd, North Charleston, SC 29406-9121 2016-06-29
1760833628 Lydia Johnson Speech-Language Pathologist 2522 E 70th St, Shreveport, LA 71105-4002 2016-06-22
1649679358 Lydia Johnson Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2014-08-19
1255750626 Lydia Zimmer Johnson Registered Nurse 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 2014-04-14
1699076398 Lydia Johnson Occupational Therapist 30 Princeton Blvd, Lowell, MA 01851-2405 2010-11-11

Office Location

Street Address 20700 WATERTOWN RD
SUIT 102
City WAUKESHA
State WI
Zip Code 53186-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144210501 Ilana Hadar Psychologist 20700 Watertown Rd, Ste 206, Waukesha, WI 53186-1800 2005-10-26
1043824949 Ryan Daniel Worley Counselor 20700 Watertown Rd, Waukesha, WI 53186-1800 2020-09-08
1639736739 Scott Dawley Counselor 20700 Watertown Rd, Waukesha, WI 53186-1800 2019-05-23
1417409707 Andrew James Schreier Counselor 20700 Watertown Rd, #102, Waukesha, WI 53186-1800 2016-11-02
1265828222 Kristin Damato Counselor 20700 Watertown Rd, Suite 102, Waukesha, WI 53186-1800 2015-04-07
1114360864 Kelsey Lee Hutchins Counselor 20700 Watertown Rd, #102, Waukesha, WI 53186-1800 2013-04-12
1578810032 Judith Ann Maret Counselor 20700 Watertown Rd, Suite 102, Waukesha, WI 53186-1800 2012-08-14
1144576968 Andrew B Mitchel Counselor 20700 Watertown Rd, Suite 102, Waukesha, WI 53186-1800 2012-07-30
1508173105 Pamela Nicole Stiles Counselor 20700 Watertown Rd, Suite 102, Waukesha, WI 53186-1800 2010-09-03
1023269883 Richard Mcknight Counselor 20700 Watertown Rd, Suite 102, Waukesha, WI 53186-1800 2008-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295391472 Christine Lowdon Triggs Dentist 21680 West Bluemound Rd, Waukesha, WI 53186 2019-05-14
1881182889 Allure Medical of Wisconsin Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 2018-04-25
1316462104 Mary B Mckee Dietitian, Registered 22370 W Bluemound Rd, #102, Waukesha, WI 53186 2017-08-14
1740738343 Rebecca Menelle Physical Therapist 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 2016-09-13
1568919876 Dianne Isnard Physical Therapist W231n1440 Corporate Court, Waukesha, WI 53186 2016-09-02
1982065991 Brandon James Decker Nurse Practitioner 21775 Hillcrest Drive, Waukesha, WI 53186 2016-03-18
1598142937 Sophia Marie Klingbiel Social Worker 1515 Paramount Dr., Waukesha, WI 53186 2015-05-06
1326478165 Glen D Haberman Dentist 141 Wisconsin Avenue, Waukesha, WI 53186 2013-11-14
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1770862054 Alex Colque, M.d. S.c. Plastic Surgery 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 2011-08-04
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639789027 John Sullivan Counselor 1104 Cavalier Dr, Waukesha, WI 53186-6883 2020-07-31
1831707835 Transitions & Supportive Services LLC Counselor 305 Sheffield Rd Apt 104, Waukesha, WI 53186-6354 2020-07-16
1942826532 Julie Marie Fliss Counselor N17w24340 Riverwood Dr, Waukesha, WI 53188-1142 2020-06-19
1669876868 Sarah Fesser Counselor 250 W Broadway Street, Suite 2, Waukesha, WI 53186-4848 2014-10-16
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1497003735 Maria N Ramirez Counselor N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 2012-08-16
1962760009 Deborah Sue Fisher Counselor 20700 Watertown Rd Ste 102, Waukesha, WI 53186-1800 2012-04-26
1245428846 Kari Jane Barnes Counselor 726 N East Ave, Waukesha, WI 53186-4807 2007-10-09
1265564678 Shorehaven Behavioral Health Inc Counselor 2314 N Grandview, Suite 309, Waukesha, WI 53188 2007-03-12
1982766937 Thomas Albert Sznaider Counselor 1931 Michigan Ave, Waukesha, WI 53188-4251 2006-12-15
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Competitor

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City WAUKESHA
Zip Code 53186

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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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