MR. TRACY LAMONT JOHNSON (NPI# 1962859132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962859132 |
| Entity Type | Individual |
| Full Name | MR. TRACY LAMONT JOHNSON |
| Practice Address |
2924 Knight St Shreveport LA 71105-2415 |
| Mailing Address |
114 Hammerly Dr Shreveport LA 71115-3411 |
| Practice Telephone | 3187543560 |
| Mailing Telephone | 3185849666 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980734 | Tracy Johnson | Behavioral Analyst | 8200 Haven Ave Apt 7211, Rancho Cucamonga, CA 91730-6972 | 2018-01-25 |
| 1588052419 | Tracy Johnson | Licensed Practical Nurse | 85 Floss Ave, Buffalo, NY 14211-1901 | 2014-12-30 |
| 1447665138 | Tracy Johnson | Registered Nurse | 120 Danville Dr, Leesburg, GA 31763-5706 | 2014-06-22 |
| 1255692638 | Tracy Darnelle Johnson | Registered Nurse | 985 Irvin Shoots Rd E, Marion, OH 43302-9739 | 2012-06-01 |
| 1194029520 | Tracy L Johnson | Registered Nurse | 709 Mulberry Dr W, West Bend, WI 53090-2257 | 2010-12-28 |
| 1992938757 | Tracy Lynn Johnson | Prosthetic/Orthotic Supplier | 2309 S 17th St Ste 100, Wilmington, NC 28401-8006 | 2009-08-27 |
| 1568665578 | Tracy Ann Johnson | Counselor | 7420 Better Way Se, Snoqualmie, WA 99065 | 2007-06-07 |
| 1134322324 | Tracy L. Johnson | Speech-Language Pathologist | 2700 Feather Run Trl, Apt. E20, West Columbia, SC 29169-4966 | 2007-06-06 |
| 1891902433 | Tracy Lynne Johnson | Physical Therapy Assistant | 887 Lincoln Dr, Conneaut, OH 44030-2135 | 2007-05-16 |
| 1942343520 | Tracy Ann Johnson | Counselor | 5726 Marlin Road. Suite 200, Chattanooga, TN 37411 | 2007-02-14 |
| Street Address |
2924 KNIGHT ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
| 1104456581 | Shavonda Rachel Jones | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2020-01-24 |
| 1720639149 | Maloree Breanne Wilkins | Case Manager/Care Coordinator | 2924 Knight St, Shreveport, LA 71105-2415 | 2019-09-26 |
| 1285158907 | Julie Anna Wyatt | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2017-08-03 |
| 1043751670 | Unconditional Care Behavioral Center | Community/Behavioral Health | 2924 Knight St, Suite 318, Shreveport, LA 71105-2415 | 2017-03-15 |
| 1326584327 | Faye S Player | Social Worker | 2924 Knight St, Suite 426, Shreveport, LA 71105-2415 | 2017-01-13 |
| 1700329950 | Aynslee Camille Wilmot | Behavior Technician | 2924 Knight St, Suite 434, Shreveport, LA 71105-2415 | 2016-11-21 |
| 1235681586 | Valerie Dawn Millikin | Counselor | 2924 Knight St, 426, Shreveport, LA 71105-2415 | 2016-11-02 |
| 1629529250 | Chassity Brown | Counselor | 2924 Knight St, Suite 318, Shreveport, LA 71105-2415 | 2016-10-19 |
| 1225488489 | Kerenie Spencer | Counselor | 2924 Knight St, Shreveport, LA 71105-2415 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359379 | Donna L Brooks | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-07 |
| 1114428091 | Keiah Ellis | Counselor | 7832 Oak Creek Trl, Shreveport, LA 71129-8811 | 2018-02-26 |
| 1851678411 | Lois M White | Counselor | 3937 Pines Rd., Suite H, Shreveport, LA 71119-7301 | 2011-11-10 |
| 1245517994 | Leslie E. Bartley | Counselor | 3937 Pines Rd, Suite H, Shreveport, LA 71119-7301 | 2011-11-09 |
| 1972797843 | Albert James Dyer I | Counselor | 1226 Georgia St, Shreveport, LA 71104-4008 | 2007-09-04 |
| 1548367014 | Matthew Joseph Tisby | Counselor | 2437 Roy Rd, Shreveport, LA 71107 | 2006-09-19 |
| 1710918669 | Alton Mcknight | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2006-07-06 |
| 1124591706 | Eunice Wilkerson | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-07 |
| 1568940161 | Brianna London Duron | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2018-08-06 |
| 1801906185 | Larry Edward Stier | Counselor | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MR. TRACY LAMONT 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.