TYKEENA LEE JOHNSON


Address: 4210 Evans Dr, Raleigh, NC 27610-6757
Phone: 9196046849

TYKEENA LEE JOHNSON (NPI# 1023532405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023532405
Entity Type Individual
Full Name TYKEENA LEE JOHNSON
Practice Address 4210 Evans Dr
Raleigh
NC 27610-6757
Practice Telephone 9196046849
Mailing Telephone 9196046849
Enumeration Date 2017-07-27
Last Update Date 2017-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 4210 EVANS DR
City RALEIGH
State NC
Zip Code 27610-6757

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1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760089825 Christine Lynn Jeffreys Counselor 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 2020-10-02
1568098903 Mona Nour Counselor 11428 Royal Amber Way, Raleigh, NC 27614-9896 2020-03-17
1306305578 Edmund Tayloe Buckman Iv Counselor 614 Capital Blvd Apt 213, Raleigh, NC 27603-1157 2019-03-18
1487127403 Professional Counseling Associates of Cary Counselor 2207 Overflow Cir, Raleigh, NC 27610-5359 2019-01-03
1154896611 Brittany Crystal Smith Counselor 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 2018-10-10
1942784079 Maria Mccrimmon Counselor 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 2018-09-25
1093220618 Roxanne Rosenberg Counselor 4508 Olde Stream Ct, Raleigh, NC 27612-3641 2017-12-05
1396260089 Christina Jones Parker Counselor 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 2017-08-03
1144750563 Esupport, Pllc Counselor 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 2017-06-18
1003365172 Victoria Baxter Counselor 39 Red Ln, Raleigh, NC 27606-1672 2016-09-29
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

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.

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