AWILDA VEGA JOHNSTON (NPI# 1588291454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588291454 |
| Entity Type | Individual |
| Full Name | AWILDA VEGA JOHNSTON |
| Credential | LPMFT |
| Practice Address |
92 N. 2nd St. #100 Fulton NY 13069 |
| Mailing Address |
913 W Thomas St Rome NY 13440-2539 |
| Practice Telephone | 3153263555 |
| Mailing Telephone | 8458006299 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P104680 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05 | 05 |
| Street Address |
92 N. 2ND ST. #100 |
| City | FULTON |
| State | NY |
| Zip Code | 13069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| 1730345109 | Catholic Charities of Oswego County | Peer Specialist | 808 W Broadway, Fulton, NY 13069 | 2008-08-05 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770135451 | Zahra Dashtaki | Counselor | 509 Kleewood Dr, Fulton, MO 65251-2403 | 2019-07-12 |
| 1104131804 | Tiffany Jane Gentile | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2010-08-18 |
| 1447874136 | Gayle Lee Kemper | Counselor | 2625 Fairway Dr Ste E, Fulton, MO 65251-4023 | 2020-05-29 |
| 1265070361 | Joseph Duane Hutchins | Counselor | 98 N 2nd St Ste 100, Fulton, NY 13069-1254 | 2019-12-19 |
| 1174164107 | Annalise Masten-muniz | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2019-10-01 |
| 1053875286 | Stephanie Grover | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2019-01-22 |
| 1194290080 | Melinda Fatiga | Counselor | 163 S 1st St, Fulton, NY 13069-1721 | 2018-10-08 |
| 1720509698 | Susan M Brockway | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2017-06-30 |
| 1740633130 | Danielle Beckwith | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2016-07-20 |
| 1770948036 | Kelly Spence | Counselor | 98 N 2nd St, Fulton, NY 13069-1254 | 2015-12-30 |
| Find all providers in FULTON | ||||
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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.