MICHELLE R JOHNSON (NPI# 1710231956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710231956 |
| Entity Type | Individual |
| Full Name | MICHELLE R JOHNSON |
| Credential | LMFT |
| Practice Address |
2707 Jeanette St Vicksburg MS 39180-4635 |
| Practice Telephone | 6012187041 |
| Mailing Telephone | 6012187041 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0102 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1659986321 | Michelle Lynn Johnson | Clinic/Center | 576 Bahia Cir Apt A, Ocala, FL 34472-2267 | 2020-09-10 |
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1649816315 | Michelle Renae Johnson | Behavioral Analyst | 901 E Washington St Apt 338, Colton, CA 92324-8143 | 2019-11-18 |
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1508361890 | Michelle Honorae-cano Johnson | Behavior Technician | 610 Bercut Dr, Sacramento, CA 95811-0115 | 2018-03-28 |
| 1003329590 | Michelle Lynne Johnson | Specialist | 1891 River St, Hyde Park, MA 02136-1418 | 2017-11-07 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| Street Address |
2707 JEANETTE ST |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| 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 |
|---|---|---|---|---|
| 1104332907 | Jessica Hansen, Pllc | Marriage & Family Therapist | 1114 Meadowsweet Ln, Vicksburg, MI 49097-9487 | 2017-12-17 |
| 1720426109 | Rhonda C Denman | Marriage & Family Therapist | 1905b Mission 66 Ste 4, Vicksburg, MS 39180-3799 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593470 | Britney Mangum Huber | Marriage & Family Therapist | 607 Corinne St Ste A2, Hattiesburg, MS 39401-3827 | 2020-09-18 |
| 1013526284 | Therapy Today, LLC | Marriage & Family Therapist | 1045 Church Rd E Ste 2b, Southaven, MS 38671-9702 | 2020-07-23 |
| 1942823422 | Terry Matthews | Marriage & Family Therapist | 1045 Church Rd E, Southaven, MS 38671-9702 | 2020-05-19 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1306488705 | Vinalrae Brame | Marriage & Family Therapist | 607 Corinne St Ste A2office, Hattiesburg, MS 39401-3831 | 2019-10-17 |
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1275009565 | Bahar Dunn | Marriage & Family Therapist | 292 Commerce Park Dr Ste C, Ridgeland, MS 39157-2239 | 2018-10-15 |
| 1871086611 | Adrienne L. Hearn | Marriage & Family Therapist | 580 S Pear Orchard Rd Apt 623, Ridgeland, MS 39157-4212 | 2018-06-06 |
| 1740792209 | Paula Hollingsworth | Marriage & Family Therapist | 5 Orleans Dr Ste 2, Hattiesburg, MS 39402-8675 | 2017-10-24 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
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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.