NICOLE JOHNSON (NPI# 1104901263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104901263 |
| Entity Type | Individual |
| Full Name | NICOLE JOHNSON |
| Credential | LPC,LMFT |
| Practice Address |
6121 Green Bay Rd Suite 230 Kenosha WI 53142-2926 |
| Practice Telephone | 2626548366 |
| Mailing Telephone | 2626548366 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
2882-125 | WI | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 635-124 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188991 | Nicole Lynn Johnson | Occupational Therapist | 2616 Overlake Ave, Orlando, FL 32806-7353 | 2020-06-11 |
| 1861015893 | Nicole Johnson | Registered Nurse | 5794 193rd St W, Farmington, MN 55024-9579 | 2020-05-26 |
| 1255969705 | Nicole Rochshel Johnson | Home Health Aide | 4045 Regina Coeli Ct, Marrero, LA 70072-6354 | 2020-03-31 |
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1053974360 | Nicole Johnson | Student in an Organized Health Care Education/Training Program | 28741 Appletree, Mission Viejo, CA 92692-1088 | 2019-04-22 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1295228310 | Nicole Marie Johnson | Technician | 2807 Douglass Pl Se, Washington, DC 20020-4420 | 2018-06-13 |
| 1922512078 | Nicole Johnson | Occupational Therapy Assistant | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 | 2017-11-28 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Street Address |
6121 GREEN BAY RD SUITE 230 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428674 | Sharon Lynn O'brien | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-06-23 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1619398005 | Shellie K Babcock | Community/Behavioral Health | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2014-01-02 |
| 1205103223 | Victoria H Biehn | Counselor | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2011-11-18 |
| 1881922300 | Janice Kampa-tews | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2009-11-20 |
| 1972663870 | Leslie Ann Konek-schlax | Social Worker | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2006-12-11 |
| 1952486011 | Michael Houle | Counselor | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1467537423 | Debra Johansen | Psychologist | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1366526097 | Fleming Psychological Services, Sc | Counselor | 6121 Green Bay Rd, Ste. 230, Kenosha, WI 53142-2926 | 2006-10-25 |
| 1376560946 | Virginia V Fennema | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1013559855 | Stephanie L Mayberry | Counselor | 6127 Green Bay Rd Ste 200, Kenosha, WI 53142-2929 | 2019-10-14 |
| 1144616277 | Kimberly Ann Oleksak | Counselor | 3200 Sheridan Rd Ste 104, Kenosha, WI 53140-1921 | 2015-04-15 |
| 1861428674 | Sharon Lynn O'brien | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-06-23 |
| 1346848454 | Brooke A Bilyk | Counselor | 6127 Green Bay Rd Ste 200, Kenosha, WI 53142-2929 | 2020-10-12 |
| 1043833270 | Linda Flahive | Counselor | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2020-05-21 |
| 1780164707 | Nicole Cremona | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-08-20 |
| 1013411693 | Ann M Grossman | Counselor | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2018-03-20 |
| 1902349699 | Monica Nanul | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2016-11-29 |
| 1679970123 | Evette Rowley | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2014-11-28 |
| Find all providers in KENOSHA | ||||
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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.