MR. CLARK MITCHELL JOHNSON (NPI# 1720278310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720278310 |
| Entity Type | Individual |
| Full Name | MR. CLARK MITCHELL JOHNSON |
| Credential | B.S. CADC II |
| Practice Address |
58646 Mcnulty Way Saint Helens OR 97051-6210 |
| Practice Telephone | 5033975211 |
| Mailing Telephone | 5033975211 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| 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) |
101YAO4OOX | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1407124910 | Clark Johnson | Physical Therapist | 2789 Brooks Range, Prescott, AZ 86301-7636 | 2011-12-12 |
| 1497989305 | Clark Timothy Johnson | Obstetrics & Gynecology | 600 N Wolfe Street Phipps 279, Baltimore, MD 21287-0001 | 2009-05-06 |
| 1801185764 | Clark Johnson | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2011-03-31 |
| 1841527033 | Clark Michael Johnson | Chiropractor | 1221 Alhambra Blvd, Suite 105, Sacramento, CA 95816-5237 | 2009-11-09 |
| 1528239399 | Clark Lewis Johnson | Marriage & Family Therapist | 222 West St, Suite 29f, Keene, NH 03431-2455 | 2008-03-19 |
| 1487706099 | Clark Woodrow Johnson | Psychiatry & Neurology | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2007-01-17 |
| 1548220700 | Clark Peter Johnson | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2006-03-23 |
| Street Address |
58646 MCNULTY WAY |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730170085 | Irene Ann Holland | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2005-11-03 |
| 1841802386 | Tamanna Malik | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-08-17 |
| 1932717832 | Kimberly Dawn Leahy | Peer Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-07-16 |
| 1912529520 | Amanda Lee Adams | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-05-18 |
| 1639707078 | Tyler James Walsh | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-03-31 |
| 1932733912 | Amy Dawn Baker | Technician, Other | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-02-27 |
| 1033749536 | Michelle Miller | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-23 |
| 1376173187 | Heidi Carmody | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-21 |
| 1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
| 1639718729 | Aaron Mitchell Brown | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837880 | Sheena Mackay Nelson | Counselor | 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6226 | 2007-06-09 |
| 1801913348 | Rebecca Ann Rourke | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2007-03-22 |
| 1649895376 | Columbia Community Mental Health | Counselor | 58581 Columbia River Hwy, Saint Helens, OR 97051-3225 | 2020-06-09 |
| 1497394977 | Jacqueline Elizabeth Potter | Counselor | 58147 Columbia River Hwy, Saint Helens, OR 97051-6229 | 2019-12-31 |
| 1265084685 | Sara J Young | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-07-15 |
| 1841851508 | Ryan Ross Ervin | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-06-24 |
| 1932768009 | Betty Lou James | Counselor | 58147 Columbia River Hwy, Saint Helens, OR 97051-6229 | 2019-06-11 |
| 1871056317 | Saren Louise Pihlaja | Counselor | 271 Columbia Blvd, Saint Helens, OR 97051-2021 | 2019-04-11 |
| 1255899290 | Tristin Marie Capelle | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-03-08 |
| 1568929495 | Laura Reid Birchard | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-02-27 |
| Find all providers in SAINT HELENS | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
Please comment or provide details below to improve the information on MR. CLARK MITCHELL 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.