MR. JOHNATHAN ANTHONY JOHNSON (NPI# 1053450866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053450866 |
| Entity Type | Individual |
| Full Name | MR. JOHNATHAN ANTHONY JOHNSON |
| Credential | LPC |
| Practice Address |
1004 Hickory Hill Ln Ste 3 Hermitage TN 37076-1931 |
| Practice Telephone | 6156010580 |
| Practice Fax Number | 6157773360 |
| Mailing Telephone | 6156010580 |
| Mailing Fax Number | 6157773360 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2098 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1528040 | 05 | |
| IRS | 45-5143984 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851802649 | Johnathan Johnson | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2017-10-19 |
| 1346612991 | Johnathan Matthew Johnson | Social Worker | 1100 W 6th Ave, Gary, IN 46402-1711 | 2015-10-22 |
| Street Address |
1004 HICKORY HILL LN STE 3 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881176212 | Auslyn Thomas | Counselor | 1004 Hickory Hill Ln Ste 3, Hermitage, TN 37076-1931 | 2018-09-01 |
| 1912369331 | Timothy Reid Horn | Counselor | 1004 Hickory Hill Ln Ste 3, Hermitage, TN 37076-1931 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403902 | Caroline Meyer | Counselor | 676 Cohassett Dr, Hermitage, PA 16148-1649 | 2020-09-23 |
| 1700430162 | Natalie M Mcquinn | Counselor | 3775 Andrew Jackson Way, Hermitage, TN 37076-2244 | 2019-07-24 |
| 1871070870 | William J. Evans Phd Inc. | Counselor | 10 Snyder Rd Ste 2, Hermitage, PA 16148-3432 | 2018-07-23 |
| 1881922557 | Professional Counseling & Guidance | Counselor | 960 S Hermitage Rd, Hermitage, PA 16148-3673 | 2009-11-18 |
| 1598906307 | Elizabeth Anne Dague | Counselor | 40 Cohasset Drive, Hermitage, PA 16148 | 2009-03-09 |
| 1487829537 | Denise E Kelley | Counselor | 3679 State St, Ste G, Hermitage, PA 16148 | 2008-04-29 |
| 1881890317 | Margaret Sandin Hustad | Counselor | 4336 Oakcrest Ln, Hermitage, TN 37076-4337 | 2007-06-22 |
| 1073717674 | Dawn Renee Smith | Counselor | 4056 E State St, Hermitage, PA 16148-3403 | 2007-06-14 |
| 1275680365 | Sara Scott | Counselor | 4207 Lebanon Pike, Suite 201, Hermitage, TN 37076-1200 | 2007-01-04 |
| 1679630214 | Sheila Kaye O'kresik | Counselor | 40 Cohassett Drive, Hermitage, PA 16148 | 2007-01-02 |
| Find all providers in HERMITAGE | ||||
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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.