LA TONYA N JOHNSON (NPI# 1770054439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770054439 |
| Entity Type | Individual |
| Full Name | LA TONYA N JOHNSON |
| Practice Address |
723 Hawkins Dr Elizabethtown KY 42701-1063 |
| Mailing Address |
Po Box 1086 Elizabethtown KY 42702-1086 |
| Practice Telephone | 2709000373 |
| Practice Fax Number | 2709000426 |
| Mailing Telephone | 2709000373 |
| Mailing Fax Number | 2709000426 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
175226 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 New Glendale Rd, Elizabethtown, KY 427018373 | 2709000373 | 2709000426 |
| Street Address |
723 HAWKINS DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801296314 | The Commitment House LLC | Substance Abuse Rehabilitation Facility | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2014-09-03 |
| 1154982577 | Kendra Mcclarity | Registered Nurse | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2019-06-26 |
| 1366903197 | Catherine Mary Oberg | Registered Nurse | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2019-03-26 |
| 1205307766 | Juanita Williams | Case Manager/Care Coordinator | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2018-12-10 |
| 1831660539 | Christina A Garcia | Counselor | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2018-12-07 |
| 1659736742 | Shianne Brent | Counselor | 723 Hawkins Dr, Elizabethtown, KY 42701-1063 | 2015-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
| 1710511456 | Rosenwald Life Center | Counselor | 612 E Dixie Ave, Elizabethtown, KY 42701-1077 | 2020-03-02 |
| 1740823228 | Tara L Govan | Counselor | 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337-2833 | 2019-10-28 |
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1396397014 | Sara Elizabeth Zsigray | Counselor | 2645 Leitchfield Rd, Elizabethtown, KY 42701-8306 | 2019-07-12 |
| 1891284311 | Moriah J Bradley | Counselor | 1311 N Dixie Ave Bldg A, Elizabethtown, KY 42701-2621 | 2018-05-10 |
| 1669843710 | Theresa Waddell | Counselor | 725 New Glendale Rd, Elizabethtown, KY 42701-8373 | 2015-10-15 |
| 1215341821 | Kelly Devers I | Counselor | 615 Westport Rd, Elizabethtown, KY 42701-2874 | 2014-06-12 |
| 1093959223 | Jenafier Ae Carroll | Counselor | 312 N Mulberry St Ste 1, Elizabethtown, KY 42701-1837 | 2009-05-01 |
| 1255497178 | Brenda Gale Luther | Counselor | 200 Sycamore St, Suite 134, Elizabethtown, KY 42701-2469 | 2006-12-28 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on LA TONYA N 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.