DORLA JOHNSON (NPI# 1457918427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457918427 |
| Entity Type | Individual |
| Full Name | DORLA JOHNSON |
| Credential | CEO |
| Practice Address |
3026 Tyre Neck Rd Ste J Portsmouth VA 23703-4500 |
| Mailing Address |
Po Box 9641 Chesapeake VA 23321-9641 |
| Practice Telephone | 7576098344 |
| Practice Fax Number | 8554237971 |
| Mailing Telephone | 7576098344 |
| Mailing Fax Number | 8554237971 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0732000554 | VA | Behavioral Health & Social Service Providers |
| Street Address |
3026 TYRE NECK RD STE J |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990285 | Keisha Nicole Whitney | Counselor | 201 Wynn St, Portsmouth, VA 23701-3141 | 2019-12-26 |
| 1326680877 | Kennedy Counseling Group | Counselor | 100 7th St Ste 104, Portsmouth, VA 23704-4800 | 2019-10-16 |
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1841857737 | Psychological Associates of Greater Hampton Roads Pllc | Counselor | 355 Crawford St Ste 333, Portsmouth, VA 23704-2819 | 2019-05-25 |
| 1831756790 | Breakthrough Therapeutic Supportive Services LLC | Counselor | 3026 Tyre Neck Road Ste J, Portsmouth, VA 23703-2526 | 2019-05-24 |
| 1467015834 | Glascow Health Services LLC | Counselor | 301 Goode Way Ste 105, Portsmouth, VA 23704-2266 | 2019-04-20 |
| 1922562909 | Dominique Myrick | Counselor | 528 Dry Run Rd, Portsmouth, OH 45663-8988 | 2019-01-24 |
| 1710466354 | Jennifer Cortes Morgan | Counselor | 355 Crawford St Ste 322, Portsmouth, VA 23704-2819 | 2018-08-13 |
| 1598272486 | Katelyn Gelineau | Counselor | 426 Middle St, Portsmouth, NH 03801-5017 | 2018-01-02 |
| 1932623931 | Debra Gilligan | Counselor | 159 Middle St Ste 3b, Portsmouth, NH 03801-4582 | 2017-08-01 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
Please comment or provide details below to improve the information on DORLA 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.