JACQUELINE M JOHNSON (NPI# 1942771738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942771738 |
| Entity Type | Individual |
| Full Name | JACQUELINE M JOHNSON |
| Practice Address |
1304 E Cardeza St Phila PA 19119-1545 |
| Practice Telephone | 2674442735 |
| Mailing Telephone | 2674442735 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| 1750651626 | Jacqueline E Johnson | Registered Nurse | 2 Devon Rd, Brentwood, NY 11717-2142 | 2012-01-09 |
| Street Address |
1304 E CARDEZA ST |
| City | PHILA |
| State | PA |
| Zip Code | 19119-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952817983 | Clear Thoughts | Counselor | 5933 N Warnock St, Phila, PA 19141-3716 | 2017-12-28 |
| 1538673272 | Sterling Gibson | Counselor | 5933 N Warnock St Apt 1, Phila, PA 19141-3716 | 2017-11-16 |
| 1568726156 | Levis Wayne Kenney | Counselor | 325 E Upsal St, Phila, PA 19119-2348 | 2012-06-27 |
| 1629354642 | Sheila Japko | Counselor | 1435 Walnut St, Phila, PA 19102-3219 | 2011-10-24 |
| 1699986844 | The Center for Growth | Counselor | 233 S 6th St, Suite C-33, Phila, PA 19106-3749 | 2007-05-26 |
| 1972052165 | Aimee M Kurtz | Counselor | 8220 Castor Ave, Phila, PA 19152-2729 | 2016-09-28 |
| 1164703609 | Eun M Kim | Counselor | 4200 Monument Rd, Phila, PA 19131-1625 | 2011-08-29 |
| 1295022374 | Christine Renee Liebers | Counselor | 8220 Castor Ave, Phila, PA 19152-2729 | 2011-07-08 |
| 1598090136 | Jeanette Anne Pailas | Counselor | 4641 Roosevelt Blvd, Phila, PA 19124-2343 | 2009-10-15 |
| 1366616443 | Theodore James Bunch | Counselor | 10360 Drummond Road, Belmont Center, Phila, PA 19154 | 2008-04-18 |
| Find all providers in PHILA | ||||
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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.