KRISTOFER JOHNSON (NPI# 1386782498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386782498 |
| Entity Type | Individual |
| Full Name | KRISTOFER JOHNSON |
| Practice Address |
1411 Lincolnway W Mishawaka IN 46544-1626 |
| Mailing Address |
Po Box 809 Goshen IN 46527-0809 |
| Practice Telephone | 5742595666 |
| Practice Fax Number | 5745372652 |
| Mailing Telephone | 5745331234 |
| Mailing Fax Number | 5745372652 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699013052 | Kristofer Michael Johnson | Counselor | 700 S W Penn, Bartlesville, OK 74003-3847 | 2013-01-19 |
| 1548411770 | Kristofer K Johnson | Physician Assistant | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2008-10-07 |
| Street Address |
1411 LINCOLNWAY W |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571697 | Rita M Mitcheff | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2005-10-13 |
| 1750980579 | Kaylyn Bussard | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2020-10-22 |
| 1316577711 | Robert Sepulveda | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2020-01-24 |
| 1790329068 | Farah A Ali | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-10-30 |
| 1023676954 | Carolyn Logue | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-06-05 |
| 1861956955 | Zerina Cardaklija | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-01-23 |
| 1851869309 | Chelsey Luke | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-11-02 |
| 1073095121 | Diana Bakia | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-09-05 |
| 1245719558 | Elizabeth Loveland | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-08-08 |
| 1437637592 | Alex Wallace | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1912506775 | Sydney E Szymanowski | Social Worker | 113 Lincolnway E, Mishawaka, IN 46544-2016 | 2020-10-22 |
| 1265083885 | Asma Musleh | Social Worker | 1818 Went Ave Ste A, Mishawaka, IN 46545-6482 | 2019-09-25 |
| 1861045163 | Karlee Keiper | Social Worker | 1818 Went Ave Ste A, Mishawaka, IN 46545-6482 | 2019-07-17 |
| 1699335836 | Rebecca Manns | Social Worker | 1818 Went Ave Ste A, Mishawaka, IN 46545-6482 | 2019-06-19 |
| 1952893885 | Elizabeth Miller | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544 | 2018-06-06 |
| 1063968212 | Andrew A Miller | Social Worker | 1818 Went Ave., Suite A, Mishawaka, IN 46545-6482 | 2016-08-28 |
| 1548629835 | Magdalena Gakwandi | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2016-02-16 |
| 1295191682 | Anne Kobold | Social Worker | 113 Lincolnway E, Mishawaka, IN 46544-2016 | 2016-01-14 |
| 1063896421 | Kristen Sikorski-conklin | Social Worker | 1818 Went Ave Ste A, Mishawaka, IN 46545 | 2015-07-16 |
| Find all providers in MISHAWAKA | ||||
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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.