DOMINIQUE JASMINE JOHNSON (NPI# 1598321085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598321085 |
| Entity Type | Individual |
| Full Name | DOMINIQUE JASMINE JOHNSON |
| Practice Address |
1370 S State St Ste A San Jacinto CA 92583-4922 |
| Practice Telephone | 9517913350 |
| Practice Fax Number | 9517913353 |
| Mailing Telephone | 9517913350 |
| Mailing Fax Number | 9517913353 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 249729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808410 | Dominique Johnson | Licensed Vocational Nurse | 43815 Tranquility Ct, Lancaster, CA 93535-6112 | 2018-04-20 |
| 1083070585 | Dominique Johnson | Behavioral Analyst | 4207 135th St, Crestwood, IL 60445-2349 | 2016-01-13 |
| 1720546088 | Dominique Johnson | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-03-06 |
| 1225508997 | Dominique Johnson | Home Health | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2018-11-26 |
| 1689198244 | Dominique A Johnson | Case Manager/Care Coordinator | 975 Kingsview Dr Bldg A, Lebanon, OH 45036-9562 | 2017-07-26 |
| 1285182626 | Dominique Johnson | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-09-14 |
| 1851736094 | Dominique Jonta-michele Johnson | Counselor | 13101 Allen Road, Building 4, Southgate, MI 48195 | 2013-05-01 |
| 1932449444 | Dominique A Johnson | Social Worker | 312 Locust St, Akron, OH 44302-1801 | 2013-02-20 |
| Street Address |
1370 S STATE ST STE A |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194891283 | County of Riverside | Community/Behavioral Health | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2006-11-28 |
| 1487278131 | Lisa Dawn Elkins | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-05-28 |
| 1265068423 | Michele Kamphuis | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-03-19 |
| 1235779539 | Erica Wood | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-01-14 |
| 1972160182 | Joy Lynn Ritchie | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2019-05-22 |
| 1669950945 | Maria Guadalupe Valdivia | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2018-07-30 |
| 1366968349 | Brenda Avila | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2017-08-21 |
| 1457876435 | Erica Marie Hall | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2017-08-10 |
| 1215466529 | Kelly Alyne Ortiz | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2017-06-08 |
| 1215482526 | Steve Desean Ross | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2016-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695604 | Wendi Witherell | Counselor | 1307 S State St Ste A, San Jacinto, CA 92583-4901 | 2018-10-22 |
| 1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
| 1508105461 | Russel Albert Arnett IIi | Counselor | 1391 Rojo Ln, San Jacinto, CA 92582-4203 | 2013-02-12 |
| 1184816241 | Michael Ramirez | Counselor | 1604 S Santa Fe Ave # 403, San Jacinto, CA 92583-5060 | 2007-08-13 |
| 1013041771 | Linda Darden | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2007-03-15 |
| 1265068423 | Michele Kamphuis | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-03-19 |
| 1235779539 | Erica Wood | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-01-14 |
| 1518518026 | Isabel Ntekim | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-09-25 |
| 1831747617 | Kristina Theresa Voight | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-08-26 |
| 1407313364 | Elizabeth Lena Thomas | Counselor | 2220 Girard St, San Jacinto, CA 92583-5301 | 2019-02-27 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on DOMINIQUE JASMINE 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.