MRS. SUSAN C JOHNSON (NPI# 1659465706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659465706 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN C JOHNSON |
| Credential | PHD,LPC |
| Practice Address |
1080 Nw South Outer Rd Suite 202 Blue Springs MO 64015-3064 |
| Practice Telephone | 8162285335 |
| Practice Fax Number | 8162287663 |
| Mailing Telephone | 8162285335 |
| Mailing Fax Number | 8162287663 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001540 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 21318037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1093291569 | Susan Patricia Johnson | Behavior Technician | 2062 Brookside Ln, Aurora, IL 60502-1369 | 2018-07-17 |
| 1396233094 | Susan Johnson | Advanced Practice Midwife | 2851 New Hartford Rd Ste B, Owensboro, KY 42303-1320 | 2018-04-27 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1366986986 | Susan Jean Johnson | Licensed Practical Nurse | 900 Owen Walters Blvd, Salina, OK 74365 | 2016-12-16 |
| 1386186518 | Susan Lynn Johnson | Pharmacist | 740 S Limestone St J134, Lexington, KY 40536-0001 | 2016-11-04 |
| 1235683889 | Susan Ly Johnson | Optometrist | 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | 2016-08-12 |
| 1205212347 | Susan Johnson | Home Health Aide | 13045 Stamford Ave, Warren, MI 48089-1350 | 2015-07-30 |
| 1346625480 | Susan Johnson | Massage Therapist | 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 | 2015-07-29 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| Street Address |
1080 NW SOUTH OUTER RD SUITE 202 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710071659 | Lawrence O'renick | Counselor | 1080 Nw South Outer Rd, Suite 202, Blue Springs, MO 64015-3064 | 2006-10-03 |
| 1609121912 | Ravinder Goswami LLC | Assisted Living Facility | 1080 Nw South Outer Rd, Blue Springs, MO 64015-3087 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822819 | Midwest Counselors | Counselor | 803 W Main St Ste B, Blue Springs, MO 64015-3771 | 2017-06-30 |
| 1013464478 | Marilyn S Hillsman | Counselor | 1200 Nw South Outer Rd., Suite 302, Blue Springs, MO 64015-3059 | 2016-09-02 |
| 1437495017 | Tara Yardley Lpc LLC | Counselor | 1133 W Main St, Suite 101, Blue Springs, MO 64015-3694 | 2012-12-31 |
| 1154620821 | Kelly Marie Sears | Counselor | 7920 S 7 Hwy, Blue Springs, MO 64014-5704 | 2011-03-21 |
| 1326343179 | Tara B Yardley | Counselor | 1100 Nw Knox St, Blue Springs, MO 64015-3626 | 2011-01-25 |
| 1003133497 | Jill Allison Curtis | Counselor | 1117 Sw Liggett Ct, Blue Springs, MO 64015-6295 | 2010-04-26 |
| 1497927727 | Melissa Renee Riddle | Counselor | 2129 Nw 13th St, Blue Springs, MO 64015-7734 | 2008-03-26 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1396875787 | Thada Pulliam | Counselor | 1209 Nw R Idge Dr., C, Blue Springs, MO 64015 | 2007-03-06 |
| 1114089992 | Alex Kiefer | Counselor | 5000 Nw Valley View Rd, Blue Springs, MO 64015-2345 | 2006-12-15 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on MRS. SUSAN C 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.