MRS. KIM ANNE JOHNSON (NPI# 1447288220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447288220 |
| Entity Type | Individual |
| Full Name | MRS. KIM ANNE JOHNSON |
| Credential | LMFT |
| Practice Address |
311 Judges Rd Unit E Wilmington NC 28405-3651 |
| Practice Telephone | 9107929888 |
| Practice Fax Number | 9107929883 |
| Mailing Telephone | 9107929888 |
| Mailing Fax Number | 9107929883 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6105266 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733361 | Kim Michele Johnson | Counselor | 536 Mark Ave, Vallejo, CA 94589-2029 | 2019-04-09 |
| 1821595067 | Kim Johnson | Technician | 319 Ingraham St Nw, Washington, DC 20011-6603 | 2018-04-12 |
| 1912410937 | Kim Johnson | Occupational Therapist | 5009 W 95th St Ste A, Oak Lawn, IL 60453-2401 | 2017-11-13 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1851739205 | Kim Johnson | Registered Nurse | 310 N Colonial Rdg, Moorestown, NJ 08057-1633 | 2013-06-07 |
| 1831432665 | Kim Graham Johnson | Psychiatry & Neurology | 932 Morreene Rd Rm 224, Durham, NC 27705-4410 | 2013-03-29 |
| 1225338551 | Kim Renee Johnson | Counselor | 527 Bay Rd Ste 104, Queensbury, NY 12804-1430 | 2010-11-03 |
| 1609042787 | Kim Y Johnson | Licensed Practical Nurse | 2125 James St, Syracuse, NY 13206-3209 | 2008-05-07 |
| 1780686626 | Kim Edward Johnson | Anesthesiology | 200 Providence Rd Ste 101, Nash Anesthesia Associates, Charlotte, NC 28207-1437 | 2005-08-11 |
| Street Address |
311 JUDGES RD UNIT E |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020696 | Diane Henderson | Social Worker | 311 Judges Rd, 4e, Wilmington, NC 28405-3651 | 2005-08-22 |
| 1902354145 | Brandi Michelle Knight | Nurse Practitioner | 311 Judges Rd, 4-e, Wilmington, NC 28405-3651 | 2016-09-16 |
| 1447675285 | Precision Health Care Services | Psychologist | 311 Judges Rd, Bldg 4, Wilmington, NC 28405-3651 | 2014-03-04 |
| 1083987705 | Dana Renee Chambers | Counselor | 311 Judges Rd, Unit E, Wilmington, NC 28405-3651 | 2012-02-10 |
| 1891747556 | Douglas Michael Owen | Counselor | 311 Judges Rd, Unit E, Wilmington, NC 28405-3651 | 2006-05-17 |
| 1427021344 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 311 Judges Rd, Building 2, Unit 1, Wilmington, NC 28405-3651 | 2006-02-10 |
| 1255323622 | Barry Allen Moore | Psychiatry & Neurology | 311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 | 2005-08-22 |
| 1912999384 | David Lewis Smith | Physician Assistant | 311 Judges Rd, 4e, Wilmington, NC 28405-3651 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355289 | New Hope Addiction Care, Inc. | Counselor | 1213 Culbreth Dr Ste 422, Wilmington, NC 28405-3639 | 2020-01-17 |
| 1477047934 | Rebecca Harrison Mullaney | Counselor | 8120 Sidbury Rd, Wilmington, NC 28411-7946 | 2018-06-19 |
| 1710412218 | Tonya Harris | Counselor | 218 W 20th St, Wilmington, DE 19802-4022 | 2017-04-22 |
| 1952842007 | Joseph Rengifo | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2017-03-08 |
| 1245616259 | Miranda Slater | Counselor | 201 N Front St Ste 215, Wilmington, NC 28401-5095 | 2015-08-03 |
| 1255729570 | Chevelle Hytower | Counselor | 911 N 5th Ave, Wilmington, NC 28401-3428 | 2015-01-08 |
| 1083019491 | Moses L Crenshaw IIi | Counselor | 611 S Van Buren St, Wilmington, DE 19805-4342 | 2014-10-28 |
| 1821492448 | Sharon Wendy Boyd | Counselor | 2304 Patwynn Rd, Wilmington, DE 19810-2731 | 2014-10-09 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1659795581 | Shannon Ayres | Counselor | 1004 Shallcross Ave, Wilmington, DE 19806-3235 | 2014-02-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
Please comment or provide details below to improve the information on MRS. KIM ANNE 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.