MARCY JOHNSON (NPI# 1134294408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134294408 |
| Entity Type | Individual |
| Full Name | MARCY JOHNSON |
| Other Name | MARCY CALDWELL |
| Credential | LCPC |
| Practice Address |
4505 E 47th St S Wichita KS 67210-1651 |
| Practice Telephone | 3165299100 |
| Practice Fax Number | 3165299351 |
| Mailing Telephone | 3165299100 |
| Mailing Fax Number | 3165299351 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
749 | KS | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
859 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083765390 | Marcy Lynn Johnson | Nurse Practitioner | 5614 Parkwalk Circle East, Boynton Beach, FL 33472 | 2007-01-15 |
| 1700139441 | Marcy J Johnson | Counselor | 1950 Redtail Hawk Dr, Estes Park, CO 80517-9780 | 2012-10-18 |
| Street Address |
4505 E 47TH ST S |
| City | WICHITA |
| State | KS |
| Zip Code | 67210-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439871 | Emberhope, Inc | Psychologist | 4505 E 47th St S, Wichita, KS 67210-1651 | 2005-06-29 |
| 1508318908 | Michelle Ricklefs | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2016-11-01 |
| 1467817312 | Sarah Nikai Vaughn | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-12-19 |
| 1023489275 | Modena Jenkins | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-10-14 |
| 1396112793 | Marisa Jones | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-09-01 |
| 1346622511 | Addelynn Shaida | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-06-24 |
| 1457741233 | Andrea Holden | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-01-30 |
| 1104226406 | Mindy Lynn Greene | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2014-08-25 |
| 1528315256 | Betty Thomasa Phillips | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2012-08-13 |
| 1750636593 | Jessica Miller | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503642 | Allegiance Home Care Services, Inc | In Home Supportive Care | 8527 E Creed St, Wichita, KS 67210 | 2011-05-16 |
| 1780892604 | Carrie Dawn Couture | Social Worker | 4505 E 47th St. South, Wichita, KS 67210 | 2007-05-21 |
| 1174003412 | Susan Sun | Acupuncturist | 2415 S Glendale St, Wichita, KS 67210-1202 | 2018-08-16 |
| 1659547479 | Lueke B Lueken | Obstetrics & Gynecology | 2760 S Roosevelt St, Wichita, KS 67210-1304 | 2008-05-01 |
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| 1053487579 | Hunter Health Clinic, Inc | Clinic/Center | 2750 S Roosevelt St, Wichita, KS 67210-1304 | 2006-11-27 |
| 1912999020 | Cynthia Marie Pinkerton | Nurse Practitioner | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2005-08-16 |
| 1730575069 | Gracemed Health Clinic, Inc | Clinic/Center | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2015-04-14 |
| 1871888248 | Delane Vaughn | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2011-06-14 |
| 1427253921 | Devin Wesley Penny | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2007-06-15 |
| Find all providers in zip 67210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710625 | Andria Brockwell | Counselor | 3450 N Rock Rd Ste 405, Wichita, KS 67226-1354 | 2020-01-29 |
| 1013560861 | Lauren Ashley Dutcher | Counselor | 654 N Woodchuck St Ste E, Wichita, KS 67212-3571 | 2019-07-22 |
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1831655265 | Arrow Therapy Group, LLC | Counselor | 111 S Whittier Rd Ste 4000c, Wichita, KS 67207-1045 | 2019-02-11 |
| 1609304922 | Michelle Oliphant | Counselor | 4601 E Douglas Ave Ste 121, Wichita, KS 67218-1032 | 2017-05-31 |
| 1205375508 | Dianne Marie Held | Counselor | 2121 N Rutgers St, Wichita, KS 67212-6409 | 2017-02-20 |
| 1467809111 | Robert James | Counselor | 1820 1/2 W Macarthur Rd, Wichita, KS 67217-2752 | 2016-05-23 |
| 1174872121 | Ieshia A Peters | Counselor | 8722 E Lakeland Cir, Wichita, KS 67207-5122 | 2012-09-06 |
| 1356648273 | The Center for Social Work Innovation, LLC | Counselor | 3425 W Central Ave Ste 100-102, Wichita, KS 67203-4919 | 2011-02-14 |
| 1467756957 | Ashley Glee Moore | Counselor | 505 N Tyler Rd, Apt 1314, Wichita, KS 67212-3676 | 2010-12-27 |
| Find all providers in WICHITA | ||||
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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.