DOMINIQUE JOHNSON (NPI# 1285182626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285182626 |
| Entity Type | Individual |
| Full Name | DOMINIQUE JOHNSON |
| Practice Address |
809 Polk St Mansfield LA 71052-2452 |
| Mailing Address |
Po Box 828 Mansfield LA 71052-0828 |
| Practice Telephone | 3188715566 |
| Practice Fax Number | 3188711076 |
| Mailing Telephone | 3188715566 |
| Mailing Fax Number | 3188711076 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808410 | Dominique Johnson | Licensed Vocational Nurse | 43815 Tranquility Ct, Lancaster, CA 93535-6112 | 2018-04-20 |
| 1083070585 | Dominique Johnson | Behavioral Analyst | 4207 135th St, Crestwood, IL 60445-2349 | 2016-01-13 |
| 1598321085 | Dominique Jasmine Johnson | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2019-05-10 |
| 1720546088 | Dominique Johnson | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-03-06 |
| 1225508997 | Dominique Johnson | Home Health | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2018-11-26 |
| 1689198244 | Dominique A Johnson | Case Manager/Care Coordinator | 975 Kingsview Dr Bldg A, Lebanon, OH 45036-9562 | 2017-07-26 |
| 1851736094 | Dominique Jonta-michele Johnson | Counselor | 13101 Allen Road, Building 4, Southgate, MI 48195 | 2013-05-01 |
| 1932449444 | Dominique A Johnson | Social Worker | 312 Locust St, Akron, OH 44302-1801 | 2013-02-20 |
| Street Address |
809 POLK ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790829646 | Cognitive Institute Incorporated | Counselor | 809 Polk St, Mansfield, LA 71052 | 2007-02-16 |
| 1053816793 | Kertrigus Lushun Thomas | Case Manager/Care Coordinator | 809 Polk St, Mansfield, LA 71052-2452 | 2018-03-26 |
| 1396247284 | Tiffany Nicole Toliver | Social Worker | 809 Polk St, Mansfield, LA 71052-2452 | 2018-03-06 |
| 1609306372 | Grace Mbenkum | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2017-06-15 |
| 1851820864 | Latitia Renee Mcdaniel | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2017-06-05 |
| 1558892323 | Lashonda Gray | Counselor | 809 Polk St, Mansfield, LA 71052 | 2017-03-23 |
| 1417406075 | Faith Alexander | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-09-23 |
| 1861948143 | Mary James-thomas | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-08-28 |
| 1902266687 | Kimberly Pradia | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-02-24 |
| 1073971545 | Orlando Wade Mack | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744121 | Roshalene Mary Bodden | Case Manager/Care Coordinator | 792 S Main St Ste 102a, Mansfield, MA 02048-3137 | 2020-06-15 |
| 1891315156 | Jessica Priscilla Morgan | Case Manager/Care Coordinator | 6960 Dick Price Rd, Mansfield, TX 76063-5288 | 2020-04-16 |
| 1558996983 | Courtney Ruth Richmond | Case Manager/Care Coordinator | 1384 Cottonbelt Rd, Mansfield, LA 71052-6533 | 2020-03-05 |
| 1306479118 | Roberta Doklovic | Case Manager/Care Coordinator | 370 Cline Ave Unit B, Mansfield, OH 44907-1057 | 2020-02-20 |
| 1376104216 | Monica Hubbard | Case Manager/Care Coordinator | 370 Cline Ave Bldg B, Mansfield, OH 44907-1057 | 2019-06-21 |
| 1447818638 | Gertrude N Nwokorie | Case Manager/Care Coordinator | 1315 Grayhawk Dr, Mansfield, TX 76063-5555 | 2019-06-03 |
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1598264996 | Rebecca Anthony | Case Manager/Care Coordinator | 1768 Binning Rd, Mansfield, LA 71052-4818 | 2018-02-12 |
| 1871009647 | Ryan M. Finley | Case Manager/Care Coordinator | 711 Scholl Rd, Mansfield, OH 44907-1571 | 2017-12-15 |
| 1073065793 | Emily Owens | Case Manager/Care Coordinator | 206 Roach St, Mansfield, LA 71052-2826 | 2016-10-28 |
| Find all providers in MANSFIELD | ||||
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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.