TRACEY L JOHNSON (NPI# 1124168877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168877 |
| Entity Type | Individual |
| Full Name | TRACEY L JOHNSON |
| Practice Address |
6009 Squire Ct #1 Memphis TN 38115-3226 |
| Mailing Address |
2946 Covington Pike Pmb 162 Memphis TN 38128-6007 |
| Practice Telephone | 9013969007 |
| Mailing Telephone | 9013969007 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 61252 | TN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2331 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1932752474 | Tracey Raeanne Vannette Johnson | Case Manager/Care Coordinator | 120 Meadowville Rd, Chester, VA 23836-2622 | 2019-07-23 |
| 1124528948 | Tracey Lynn Johnson | Social Worker | 284 Carlton Ave Apt 1, Brooklyn, NY 11205-4619 | 2018-02-19 |
| 1700246873 | Tracey Johnson | Early Intervention Provider Agency | 12410 S Aberdeen St, Calumet Park, IL 60827-5806 | 2016-03-02 |
| 1821245754 | Tracey Renae Johnson | Pharmacist | 108 W Hendry St, Hinesville, GA 31313-3232 | 2008-08-21 |
| 1063605749 | Tracey E. Johnson | Counselor | 2304 Rogate Cir, 303, Baltimore, MD 21244-5736 | 2007-08-25 |
| 1710024971 | Tracey L Johnson | Counselor | 1307 College St Se, Lacey, WA 98503-2332 | 2007-01-30 |
| 1659621423 | Tracey Johnson | Massage Therapist | 618 4th Ave, Suite 208, Bethlehem, PA 18018-5575 | 2012-09-19 |
| 1578828281 | Tracey Crew Johnson | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-07-09 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| Street Address |
6009 SQUIRE CT #1 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
| 1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
| 1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
| 1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
| 1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
| 1316436439 | Mardrey Alicia Wade Kiles | Counselor | 4440 Bishop Hills Dr, Memphis, TN 38128-7427 | 2018-05-03 |
| 1801399191 | Crysta Michelle Nilsson | Counselor | 5118 Park Ave Ste 115, Memphis, TN 38117-5720 | 2018-03-13 |
| 1750897146 | Kelley Goodwin | Counselor | 2023 W Houston Way, Memphis, TN 38139-6933 | 2017-12-20 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on TRACEY L 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.