CRYSTAL JOHNSON (NPI# 1215540729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215540729 |
| Entity Type | Individual |
| Full Name | CRYSTAL JOHNSON |
| Practice Address |
2580 Victor Ave Ste C Redding CA 96002-1455 |
| Mailing Address |
3432 Oasis Rd Redding CA 96003-1220 |
| Practice Telephone | 5307222220 |
| Mailing Telephone | 5307126127 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1548871940 | Crystal Johnson | Social Worker | 43 Whitman St # 2, Somerville, MA 02144-1615 | 2020-08-11 |
| 1003436429 | Crystal K Johnson | In Home Supportive Care | 894 E 223rd St, Euclid, OH 44123-3302 | 2020-04-26 |
| 1982121588 | Crystal Johnson | Behavioral Analyst | 20145 Serrano Rd, Apple Valley, CA 92307-2608 | 2017-08-24 |
| 1033662465 | Crystal Johnson | Technician, Other | 2178 Trafalger St, East Lansing, MI 48823-1329 | 2016-08-02 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1932412673 | Crystal Aurice Johnson | Dentist | 5780 Ch James Parkway, Suite 280, Powder Springs, GA 30127-0000 | 2010-07-23 |
| 1326209271 | Crystal Johnson | Speech-Language Pathologist | 10603 Flatlands Ave, Brooklyn, NY 11236-2922 | 2008-06-23 |
| 1912110685 | Crystal L. Johnson | Dentist | 1412 Barnwell St, Columbia, SC 29201-3512 | 2007-05-08 |
| Street Address |
2580 VICTOR AVE STE C |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124576087 | Leslie Mitcham | Counselor | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2016-09-20 |
| 1902423957 | Phylliss M. Nettesheim | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-25 |
| 1265058028 | Beverly Johnson | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-17 |
| 1508481805 | Wayfinder Family Services | Community/Behavioral Health | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046791 | Haley Marie Henderson | Counselor | 3020 Carson Dr Apt 2, Redding, CA 96003-7740 | 2020-09-02 |
| 1518585439 | Emely Fabre | Counselor | 2183 Princeton Way # 0, Redding, CA 96003-8239 | 2020-07-07 |
| 1457843211 | Greta Watkins | Counselor | 43 Hilltop Dr, Redding, CA 96003-2807 | 2018-06-06 |
| 1639668213 | Marcia Ramstrom | Counselor | 1630 Canter Ct, Redding, CA 96002-4883 | 2018-05-09 |
| 1780173781 | Angela Nicole Macdougall | Counselor | 3545 Sunglow Dr, Redding, CA 96001-6143 | 2018-05-04 |
| 1770086605 | Tonya Leigh Clarke | Counselor | 1421 Court St, Redding, CA 96001-1634 | 2018-03-16 |
| 1861946634 | Karen Christine Strand | Counselor | 1933 Market St Ste C, Redding, CA 96001-1929 | 2016-08-10 |
| 1487016291 | Daniel Hardy Jr. | Counselor | 3191 Churn Creek Rd # Re, Redding, CA 96002-2123 | 2016-03-22 |
| 1730584491 | Vickie Lynn Parker | Counselor | 1930 West St, Redding, CA 96001-1765 | 2014-10-23 |
| 1407257132 | Brigitte Robertson | Counselor | 448 Redcliff Dr Ste 121, Redding, CA 96002-0159 | 2014-09-12 |
| Find all providers in REDDING | ||||
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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.