ACACIA LYNETTE JOHNSON (NPI# 1912149618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912149618 |
| Entity Type | Individual |
| Full Name | ACACIA LYNETTE JOHNSON |
| Credential | LPC |
| Practice Address |
702 N Main St Ste B Harrison AR 72601-2920 |
| Mailing Address |
8289 Redbud Harrison AR 72601-9304 |
| Practice Telephone | 5017812230 |
| Mailing Telephone | 5012786688 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1202014 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1912149618 | 05 | |
| AR | 175189795 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1003 N Main St, Harrison, AR 726012517 | 8702046016 | |
| 8289 Redbud, Harrison, AR 726019304 | 5012786688 |
| Street Address |
702 N MAIN ST STE B |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581291 | Erica Dawn Reddell | Speech-Language Pathologist | 702 N Main St Ste B, Harrison, AR 72601-2920 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718320 | Cassandra Lynn Elledge | Counselor | 303 N Main St Ste 104b, Harrison, AR 72601-3508 | 2016-05-20 |
| 1316313646 | Chelsea Roland | Counselor | 181 N 2nd St, Harrison, MI 48625-2501 | 2015-08-21 |
| 1235554965 | Sheila H Rollins | Counselor | 249 Scribners Mills Road, Harrison, ME 04040 | 2014-03-05 |
| 1578997706 | Donna Sue Moshier | Counselor | 206 N Cherry St, Harrison, AR 72601 | 2013-08-23 |
| 1760473979 | Laura D Morrison | Counselor | 715 W Sherman Ave, Ste F, Harrison, AR 72601-2743 | 2005-11-04 |
| 1144834201 | Alessandra Palladino | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-09-04 |
| 1528671336 | Trisha D Wiatt | Counselor | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-08-31 |
| 1811514078 | Freedom Wings Counseling, Pllc | Counselor | 303 N Main St Ste 104b, Harrison, AR 72601-3508 | 2020-07-02 |
| 1184287039 | Hope 360 Counseling, Inc. | Counselor | 206 N Cherry St, Harrison, AR 72601-3414 | 2019-04-17 |
| 1417468661 | Robyn Dye | Counselor | 117 Sawgrass Pt, Harrison, AR 72601-3072 | 2017-10-16 |
| Find all providers in HARRISON | ||||
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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.