MR. HARLAN JOHNSON (NPI# 1164490132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164490132 |
Entity Type | Individual |
Full Name | MR. HARLAN JOHNSON |
Other Name | HARLAN JOHNSON |
Credential | LMFT, LCPC |
Practice Address |
852 Lakewood Dr Rockford IL 61102-1228 |
Practice Telephone | 8159685433 |
Mailing Telephone | 8159685433 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers | |
X | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
Street Address |
852 LAKEWOOD DR |
City | ROCKFORD |
State | IL |
Zip Code | 61102-1228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205115383 | Renee Lynn Keeney | Advanced Practice Midwife | 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 | 2011-08-08 |
1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
1801012992 | Jennifer Anne Boyd | Developmental Therapist | Nia 1515 S. Meridian Rd., Rockford, IL 61102 | 2007-04-17 |
1447751623 | Cynthia Uwase | Dentist | 1200 W State St, Rockford, IL 61102 | 2018-02-23 |
1033591847 | Jithinraj Edakkanambeth Varayil | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-29 |
1194106849 | Naomi Thompson | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-17 |
1811377617 | Serene Antoinette Bethune | Family Medicine | 1200 W State St, Rockford, IL 61102 | 2015-06-05 |
1013188408 | Gary Patrick Fernando | Pediatrics | 1200 W State St, Rockford, IL 61102 | 2008-03-13 |
1265602130 | Martin A Ganan | Pharmacist | 1200 W State St, Pharmacy, Rockford, IL 61102 | 2008-03-07 |
1609173434 | Kellie J Gibbons | Registered Nurse | 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 | 2011-02-14 |
Find all providers in zip 61102 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316571482 | Charles Theodore Strominger IIi | Counselor | 1003 N Prospect St, Rockford, IL 61107-3134 | 2020-02-27 |
1194366724 | Chelsie Ketton | Counselor | 2218 Custer Ave, Rockford, IL 61103-4374 | 2019-10-04 |
1467014282 | Ronald Charles Fleming Sr. | Counselor | 6408 Encantado Ct E, Rockford, MI 49341-9677 | 2019-07-01 |
1932685542 | Transformations Counseling Training and Consulting LLC | Counselor | 6066 Strathmoor Dr # C2, Rockford, IL 61107-6633 | 2018-07-17 |
1376045583 | Brittany Anne Bunton | Counselor | 5702 Elaine Dr. Suite 106, Rockford, IL 61108-2458 | 2018-03-03 |
1215435425 | Victor Hugo Mendoza | Counselor | 4623 Crescent Drive, Rockford, IL 61108-6110 | 2018-01-23 |
1639686538 | Lindsay M Lang Gluscic | Counselor | 915 Peter Ave, Rockford, IL 61108-3733 | 2018-01-02 |
1770975484 | Todd D Burd | Counselor | 6072 Brynwood Dr Ste 107a, Rockford, IL 61114-5829 | 2015-03-04 |
1083800601 | Lucille Anne Jenkins | Counselor | 2020 Glenview Rd, Rockford, IL 61107-1335 | 2007-09-18 |
1588790620 | Stephanie Anne Carey | Counselor | 5301 E State St Ste 302, Rockford, IL 61108-2399 | 2007-02-25 |
Find all providers in ROCKFORD |
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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.