PEGGY M JOHNSON


Address: 4122 W 55th Pl Ste 119, Tulsa, OK 74107-9108
Phone: 9187910026

PEGGY M JOHNSON (NPI# 1588936199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588936199
Entity Type Individual
Full Name PEGGY M JOHNSON
Credential LPC-C
Practice Address 4122 W 55th Pl Ste 119
Tulsa
OK 74107-9108
Mailing Address Po Box 702504
Tulsa
OK 74170-2504
Practice Telephone 9187910026
Practice Fax Number 9187910043
Mailing Telephone 9187910026
Mailing Fax Number 9187910043
Enumeration Date 2012-01-30
Last Update Date 2015-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
OK Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK PENDING 05

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Office Location

Street Address 4122 W 55TH PL STE 119
City TULSA
State OK
Zip Code 74107-9108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972939031 Genevieve Christine Egge Behavioral Analyst 4122 W 55th Pl Ste 119, Tulsa, OK 74107-9108 2013-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508493784 Squareone Compassion Inc Clinic/Center 5323 South 65th West Avenue, Tulsa, OK 74107 2020-03-26
1649772476 Lauren Michele Rogers Student in an Organized Health Care Education/Training Program 1111 W. 17th St., Barson 241, Tulsa, OK 74107 2018-03-07
1336641828 Frank Patrick Goodman Student in an Organized Health Care Education/Training Program 2345 Sw Blvd, Tulsa, OK 74107 2018-03-01
1659827269 Careatc - America Waste Clinic/Center 23322 Southwest Blvd, Tulsa, OK 74107 2016-09-01
1538530886 Jeremy Michael Bowles Pharmacist 4227 Southwest Boulevard, Tulsa, OK 74107 2015-10-13
1760725865 Nicholas Alexander Student in an Organized Health Care Education/Training Program 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 2013-03-27
1295095321 Robert Steven Wedding Counselor 6033 S. 31 St. West Ave., Tulsa, OK 74107 2012-05-23
1295911451 American Current Care P.a. Clinic/Center 5682 W Skelly Drive, Tulsa, OK 74107 2008-01-17
1821200072 Leeca Jenkins Counselor 2007 W. 57th St, Tulsa, OK 74107 2007-05-03
1477670552 Occupational Health Centers of The Southwest, P.a. Clinic/Center 5682 W. Skelly Drive, Tulsa, OK 74107 2007-03-23
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1538634654 Prevailing Passions Counseling Counselor 10212 E 41st St, Tulsa, OK 74146-3703 2018-10-04
1629552971 Carole's Hope Counselor 7711 E 111th St Ste 116, Tulsa, OK 74133-2563 2018-09-22
1174015598 Debra Anne Beasley Counselor 1619 E. 13th St., Tulsa, OK 74120 2018-06-01
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1164945820 Maria Adeshina Counselor 2027 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6419 2017-07-24
1841730579 Bowden Mcelroy and Associates, LLC Counselor 7136 S Yale Ave, Tulsa, OK 74136-6373 2017-02-28
1063960094 Joanna Majka Counselor 5550 S Lewis Ave, Suite 301, Tulsa, OK 74105-7118 2016-09-19
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Competitor

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City TULSA
Zip Code 74107

Improve Information

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Dataset Information

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.

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