KIMBERLY JOHNSON (NPI# 1649617812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649617812 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOHNSON |
| Practice Address |
1825 Marika Rd Fairbanks AK 99709-5521 |
| Practice Telephone | 9074740890 |
| Practice Fax Number | 9074513621 |
| Mailing Telephone | 9074740890 |
| Mailing Fax Number | 9074513621 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH3237 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
1825 MARIKA RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
| 1073130720 | Andrew Anthony Lara | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-29 |
| 1336765114 | Kevin Johnson Jr. | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-17 |
| 1346865565 | Joshua Vazquez Gonzalez | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-12 |
| 1194354639 | Mark Dinelt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-04-06 |
| 1487286860 | John Walter Flynn | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-02-04 |
| 1962033282 | Family Centered Services of Alaska | Clinic/Center | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-27 |
| 1881224301 | Jheri Rea Bock | Behavioral Analyst | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-23 |
| 1922638527 | Tracy Mcdonald-ofeldt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-22 |
| 1528602869 | Noah Harris | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231739 | Susan E Stanton | Counselor | 480 University Ave, Fairbanks, AK 99709-3639 | 2014-03-04 |
| 1144591330 | Larry Chalcraft II | Counselor | 1825 Marika, Fairbanks, AK 99709-5521 | 2012-01-19 |
| 1174849632 | Stephanie Majors | Counselor | 477 Marshall Dr, Fairbanks, AK 99712-1333 | 2010-04-08 |
| 1215266648 | Judith Gottschalk | Counselor | 2737 Bonanza Trail, Fairbanks, AK 99708-5091 | 2009-12-14 |
| 1194857326 | Jennifer Ann Danhauser | Counselor | 565 University Ave., Ste. #4, Fairbanks, AK 99709-3688 | 2007-03-12 |
| 1568593556 | Miriam Anne Titus | Counselor | 201 1st Ave Ste 300, Fairbanks, AK 99701-4848 | 2007-03-08 |
| 1679613889 | Joan Soutar | Counselor | 620 5th Ave, Fairbanks, AK 99701 | 2007-02-07 |
| 1194862128 | Margaret A Dodge | Counselor | 1417 Mac Farland, Fairbanks, AK 99709-7530 | 2007-01-31 |
| 1780721001 | George Roy Kirchner Jr. | Counselor | 626 2nd St Ste 201a, Fairbanks, AK 99701-3466 | 2007-01-30 |
| 1851447973 | Ligia Maria Novcaski | Counselor | 620 5th Avenue, Fairbanks, AK 99701 | 2007-01-25 |
| Find all providers in FAIRBANKS | ||||
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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.