MS. ELLEN MAXINE JOHNSON (NPI# 1235258237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235258237 |
| Entity Type | Individual |
| Full Name | MS. ELLEN MAXINE JOHNSON |
| Other Name | MS. ELLEN MAXINE HICKMAN |
| Credential | M.S. |
| Practice Address |
5083 Taylor Ave Ne Bainbridge Island WA 98110-3188 |
| Practice Telephone | 2068420664 |
| Practice Fax Number | 2068420664 |
| Mailing Telephone | 2068420664 |
| Mailing Fax Number | 2068420664 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00006614 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670940 | Ellen Rose Johnson | Counselor | 5909 West Loop S Ste 640, Bellaire, TX 77401-2430 | 2018-12-17 |
| 1043791387 | Ellen Meredith Johnson | Counselor | 10 Main St Ste 326, New Paltz, NY 12561-1764 | 2018-08-24 |
| 1710256854 | Ellen Margaret Johnson | Registered Nurse | 2010 Route 52, Hopewell Junction, NY 12533-3507 | 2011-12-19 |
| 1760670533 | Ellen Brigman Johnson | Chore Provider | 107 Graham Ln, Beaufort, NC 28516-9449 | 2007-10-05 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1831297571 | Ellen Beth Johnson | Speech-Language Pathologist | 120 N. 8th Ave, Show Low, AZ 85901 | 2006-09-20 |
| 1609972991 | Ellen I Johnson | Psychiatry & Neurology | 420 Holmes St, Bellefonte, PA 16823-1401 | 2006-09-15 |
| 1235164963 | Ellen A Johnson | Family Medicine | 6 Perri Avenue, Myerstown, PA 17067-3200 | 2006-07-11 |
| 1174158265 | Ellen Patricia Johnson | Marriage & Family Therapist | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-03-09 |
| 1780227116 | Ellen Rita Johnson | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2019-10-17 |
| Street Address |
5083 TAYLOR AVE NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130712 | Steve Oshin | Counselor | 3390 Crystal Springs Dr Ne, Bainbridge Island, WA 98110-2039 | 2020-06-29 |
| 1487295101 | Daniel James Donohue | Counselor | 4779 Lynwood Center Rd Ne, Bainbridge Island, WA 98110-3209 | 2019-10-03 |
| 1093367724 | William M Gibson | Counselor | 14657 Sivertson Rd Ne, Bainbridge Island, WA 98110-3051 | 2019-07-12 |
| 1699240424 | Erin D'arcy Earle | Counselor | 271 Wyatt Way Ne Ste 200, Bainbridge Island, WA 98110-2873 | 2018-10-08 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1427576347 | Lucija Banic | Counselor | 325 Tormey Ln Ne Ste 144, Bainbridge Island, WA 98110-2893 | 2017-08-30 |
| 1225577885 | Roberta Dueno | Counselor | 931 Hildebrand Ln Ne Ste 101, Bainbridge Island, WA 98110-2823 | 2017-02-15 |
| 1730557240 | Elizabeth Moga | Counselor | 435 Ericksen Ave Ne Ste 240, Bainbridge Island, WA 98110-1896 | 2015-09-14 |
| 1679967186 | Diana Chan Counseling Pllc | Counselor | 755 Winslow Way E Ste 103, Bainbridge Island, WA 98110-2483 | 2015-03-23 |
| 1841680634 | Kellee Gibbons | Counselor | 1312 Stonecress Ln, Bainbridge Island, WA 98110-2917 | 2015-01-31 |
| Find all providers in BAINBRIDGE ISLAND | ||||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on MS. ELLEN MAXINE 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.