MR. CLARENCE JOHNSON (NPI# 1942317474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942317474 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE JOHNSON |
| Other Name | CLARENCE REED |
| Credential | CADC III |
| Practice Address |
1220 Dewey Ave Wauwatosa WI 53213-2598 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4144546707 |
| Practice Fax Number | 4144546747 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1876 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710152178 | Clarence Johnson | Speech-Language Pathologist | 1129 Morgan St., Cleveland, MS 38732 | 2008-04-28 |
| 1023103728 | Clarence Johnson | Physical Therapist | 6560 Fannin St Ste 450, Houston, TX 77030-2735 | 2006-10-04 |
| 1740755594 | Clarence Mcneil Johnson Jr. | Nurse Practitioner | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-10-09 |
| 1649370768 | Clarence M Johnson | Specialist | 12555 Garden Grove Blvd, Suite 206, Garden Grove, CA 92843-1902 | 2006-09-25 |
| 1013937713 | Clarence Michael Johnson | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2006-07-19 |
| 1942278619 | Clarence Birnie Johnson | Internal Medicine | 1161 Cook Rd, Orangeburg, SC 29118-8204 | 2006-03-09 |
| Street Address |
1220 DEWEY AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
| 1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
| 1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
| 1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
| 1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
| 1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
| 1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
| 1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073152435 | John A Castro | Counselor | 2222 N Mayfair Rd Ste 200, Wauwatosa, WI 53226-2263 | 2020-01-03 |
| 1235578709 | Aasiyah Clark | Counselor | 2222 N Mayfair Rd, Wauwatosa, WI 53226-2262 | 2013-06-18 |
| 1114162187 | Benjamin M Rader | Counselor | 933 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3432 | 2008-12-04 |
| 1891992749 | Jacqueline Mae Halverson | Counselor | 1233 N. Mayfair Rd, 206, Wauwatosa, WI 53226-3255 | 2007-07-02 |
| 1518173772 | Jenna Lynn Behrens | Counselor | 7332 W State St Lower Level, Wauwatosa, WI 53213-2766 | 2007-05-15 |
| 1174650857 | Jessica Ann Osinski | Counselor | 2600 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-1303 | 2007-02-28 |
| 1508414491 | Alaina Kroes | Counselor | 2380 N 124th St Ste 101, Wauwatosa, WI 53226-1071 | 2019-09-03 |
| 1932666534 | Bethany Williamson | Counselor | 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 | 2019-03-01 |
| 1154898252 | Jordan Menefee Chevako | Counselor | 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 | 2018-10-26 |
| 1609257989 | Rosalina Solorzano | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2015-06-12 |
| Find all providers in WAUWATOSA | ||||
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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.