MR. RODERIC KENNETH JOHNSON (NPI# 1609377431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609377431 |
| Entity Type | Individual |
| Full Name | MR. RODERIC KENNETH JOHNSON |
| Credential | CDCA |
| Practice Address |
22639 Euclid Ave Euclid OH 44117-1622 |
| Mailing Address |
3622 Prospect Ave E Cleveland OH 44115-2704 |
| Practice Telephone | 2164041900 |
| Practice Fax Number | 2164041901 |
| Mailing Telephone | 2165086649 |
| Mailing Fax Number | 2164314601 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
165698 | OH | Behavioral Health & Social Service Providers |
| Street Address |
22639 EUCLID AVE |
| City | EUCLID |
| State | OH |
| Zip Code | 44117-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242280 | Moore Counseling & Mediation Services, Inc. | Counselor | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2006-08-16 |
| 1760095509 | Edward Nicolas Nelson | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-08-30 |
| 1972116622 | Nicole Paler | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-08-24 |
| 1962015610 | Marisa Nachelle Rayford | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-08-24 |
| 1942813605 | Scott Mcdowell | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-08-24 |
| 1215558069 | Fiona M Barbagallo | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-05-04 |
| 1851912604 | Michael Davis | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-05-04 |
| 1487275236 | Kameron Murray-lavette | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-05-04 |
| 1710508577 | Ashley Jean Eisenmann | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-05-04 |
| 1295369098 | Annamarie E Murphy | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841758026 | A & B Care Corp. | Licensed Practical Nurse | 19451 Euclid Ave Sf East, Sf East Apt 1, Euclid, OH 44117 | 2019-03-07 |
| 1568973949 | Kareesha Mccray | Counselor | 22369 Euclid Ave, Euclid, OH 44117 | 2017-10-12 |
| 1063895696 | Taneisha Black | Nurse's Aide | 10127 South Blvd, Apt 3, Cleveland, OH 44117 | 2015-07-01 |
| 1144630211 | Tia Shoulders | Licensed Practical Nurse | 1914 Grand Blvd, Euclid, OH 44117 | 2014-04-29 |
| 1639596869 | Precious Medical Health Ser LLC | Clinic/Center | 25000 Euclid Ave #408, Euclid, OH 44117 | 2014-03-26 |
| 1073948949 | Stacey Robyn Carr | Home Health Aide | 2105 Algonquin Road, Euclid, OH 44117 | 2013-09-10 |
| 1295045862 | Jeanette S. Henry | Home Health | 18551 Dansy Dr, Euclid, OH 44117 | 2010-10-18 |
| 1821238510 | Laverne Wilcox | Counselor | 1798 Cedar Ct, Euclid, OH 44117 | 2009-02-20 |
| 1801012174 | Gba Homecare Services | Home Health | 1554 E 195th, Up, Euclid, OH 44117 | 2007-04-17 |
| 1205959137 | Sarah Turner Kuestner | Pediatrics | 24701 Euclid Avenue, Rainbow Babies and Children's Hospital, Euclid, OH 44117 | 2007-04-07 |
| Find all providers in zip 44117 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198578 | Rickey Lewis | Counselor | 1811 Idlehurst Dr, Euclid, OH 44117-1849 | 2020-03-10 |
| 1285269464 | Paulette Michelle Spivey | Counselor | 19101 Euclid Ave Apt 225, Euclid, OH 44117-3349 | 2020-03-07 |
| 1205479789 | Jerry Monroe Carroll | Counselor | 23201 Lake Shore Blvd Apt 44, Euclid, OH 44123-1340 | 2019-10-28 |
| 1164911947 | Carl Stanley Quitman | Counselor | 233 E 246th St, Euclid, OH 44123-1447 | 2018-05-07 |
| 1316457492 | Circle of Care Ohio, LLC | Counselor | 27801 Euclid Ave Ste 600, Euclid, OH 44132-3548 | 2017-10-03 |
| 1851834089 | Derrick D Thomas | Counselor | 21120 Fuller Ave, Euclid, OH 44123-2710 | 2016-11-19 |
| 1659764686 | Genysis Restoration | Counselor | 324 Euclid Square Mall, Euclid, OH 44132-2808 | 2015-03-16 |
| 1306401831 | Robert J Moore | Counselor | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2019-05-09 |
| 1659849289 | Johnetta M Turpin | Counselor | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2018-11-13 |
| 1376032573 | John Carlson | Counselor | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2018-05-03 |
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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.