JOHN JOSEPH JOHNSON (NPI# 1891099842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891099842 |
Entity Type | Individual |
Full Name | JOHN JOSEPH JOHNSON |
Credential | MFT |
Practice Address |
107 E Main St Ste 29 Medford OR 97501 |
Mailing Address |
777 Northwood St Apt 12 Medford OR 97504-6548 |
Practice Telephone | 5412012692 |
Mailing Telephone | 5412012692 |
Enumeration Date | 2011-01-05 |
Last Update Date | 2018-11-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | T1009 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500698279 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
900 E Main St, Medford, OR 975047136 | 5417792393 | 5417793317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518604 | John William Johnson | Marriage & Family Therapist | 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291-4772 | 2020-11-02 |
1659913945 | John D Johnson | Social Worker | 541 Westcott Dr, Friday Harbor, WA 98250-8112 | 2019-10-08 |
1952861577 | John Lucien Johnson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw # C3201, Washington, DC 20007-2196 | 2019-03-20 |
1598285603 | John David Johnson | Behavioral Analyst | 401 Avenue G, Matamoras, PA 18336-1303 | 2017-06-21 |
1235590969 | John W Johnson | Counselor | 235 Mahogany Dr, Opelousas, LA 70570-1253 | 2016-03-08 |
1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
1194113621 | John Johnson | Optometrist | 1169 N Burleson Blvd Ste 131, Burleson, TX 76028-7011 | 2015-01-07 |
1366867426 | John Albert Johnson Jr. | Dentist | 3702 Coppercrest Dr, Bryan, TX 77802-5941 | 2014-02-26 |
1689016966 | John A Johnson | Licensed Practical Nurse | 9104 N 75th St, Apt. 3a, Milwaukee, WI 53223-2064 | 2013-07-26 |
1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
Street Address |
107 E MAIN ST STE 29 |
City | MEDFORD |
State | OR |
Zip Code | 97501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
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 |
---|---|---|---|---|
1114223302 | Marika P Mooyman | Marriage & Family Therapist | 1005 E Main St Bldg B, Medford, OR 97504-7448 | 2011-02-04 |
1326274192 | Tara Michelle Hurley | Marriage & Family Therapist | 11 Sagamore Ave, Medford, MA 02155-2107 | 2009-06-06 |
1013143403 | Dwight Henry Horch | Marriage & Family Therapist | 9 Holly Dr, Medford, NJ 08055-8810 | 2009-05-31 |
1336326826 | Patricia M. Brady-ciarcia | Marriage & Family Therapist | 16 Bradlee Rd, Third Floor, Medford, MA 02155-3111 | 2008-01-28 |
1417168121 | Gabriel Joel Mccoy | Marriage & Family Therapist | 1316 W Main St, Medford, OR 97501-2937 | 2007-05-24 |
1780894840 | Wellspring Counseling Center of Southern Oregon, LLC | Marriage & Family Therapist | 18 Portland Ave., Medford, OR 97504-7309 | 2007-05-23 |
1831309301 | James Sidney Stumbo | Marriage & Family Therapist | 3550 National Dr, Medford, OR 97504-4148 | 2007-05-23 |
1518173640 | Sallyann Roth | Marriage & Family Therapist | 137 Brooks St, Medford, MA 02155-2243 | 2007-05-15 |
1356467492 | Nicole Christine Ryan | Marriage & Family Therapist | 328 S Central Ave Ste 205, Medford, OR 97501-7274 | 2007-03-21 |
1932223021 | Barbara Jean Parsons | Marriage & Family Therapist | 201 W Main St Ste 3c, Medford, OR 97501-2744 | 2007-03-16 |
Find all providers in MEDFORD |
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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.