REANNA JOHNSON (NPI# 1639555626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639555626 |
| Entity Type | Individual |
| Full Name | REANNA JOHNSON |
| Practice Address |
1719 Sw 11th St Lawton OK 73501-7305 |
| Mailing Address |
Po Box 662 Purcell OK 73080-0662 |
| Practice Telephone | 5805811818 |
| Practice Fax Number | 5805811819 |
| Mailing Telephone | 4055271785 |
| Mailing Fax Number | 4055271084 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | OK | Behavioral Health & Social Service Providers |
| Street Address |
1719 SW 11TH ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992748990 | Katie Burk | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2006-06-14 |
| 1669072120 | Tashina Ototivo | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2020-10-26 |
| 1326491275 | Amanda Alexander | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-07-15 |
| 1003276213 | Robert Lee | Marriage & Family Therapist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-03-01 |
| 1770941684 | Sunshine Fixico | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-02-05 |
| 1689030785 | Carmela Rendina | Social Worker | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-01-06 |
| 1518374909 | Matthew Stewart | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2014-07-17 |
| 1508100926 | Multi-county Counseling Center | Case Management | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-11-26 |
| 1093063836 | Elizabeth Ayala | Psychologist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-08-28 |
| 1720352396 | William Malicoat | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727581 | Jennifer Baker, Lmft, LLC | Marriage & Family Therapist | 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 | 2020-07-21 |
| 1942659743 | Two Swans Counseling Service, P.l.l.c. | Marriage & Family Therapist | 711 Sw D Ave Ste 203, Lawton, OK 73501-4561 | 2016-06-13 |
| 1164822342 | Kahealani Dingle | Marriage & Family Therapist | 6952 Sw Forest Ave, Lawton, OK 73505-6630 | 2014-08-25 |
| 1316380371 | Andrea Boston | Marriage & Family Therapist | 5 Nw 16th St Ste 10c, Lawton, OK 73507-6400 | 2013-04-09 |
| 1043558869 | Hope Stephens | Marriage & Family Therapist | 2913 Ne Bellevue Cir, Lawton, OK 73507-7116 | 2013-01-29 |
| 1407190861 | Vance H. Durham | Marriage & Family Therapist | 3101 Ne Brentwood Dr, Lawton, OK 73507-1909 | 2012-11-24 |
| 1285925610 | Stephanie Roebuck | Marriage & Family Therapist | 2215 Nw Cache Rd Ste 107, Lawton, OK 73505-5258 | 2011-04-19 |
| 1992019111 | Joe R. Williams Jr. | Marriage & Family Therapist | 2215 Nw Cache Rd, Suite 107, Lawton, OK 73505-5239 | 2010-07-29 |
| 1366627465 | Bob Hartley | Marriage & Family Therapist | 2305 Redwood Lane, Lawton, OK 73505-1310 | 2008-01-08 |
| 1891721791 | Joanni Sailor | Marriage & Family Therapist | 1002 W. Gore Blvd., Lawton, OK 73501 | 2006-06-23 |
| Find all providers in LAWTON | ||||
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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.