KATHLEEN ANNE JOHNSON (NPI# 1205029006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205029006 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE JOHNSON |
| Credential | LMHC |
| Practice Address |
600 Sw 3rd St Suite 6126 Pompano Beach FL 33060-6932 |
| Mailing Address |
850 Ives Dairy Rd T-57/409 North Miami Beach FL 33179-2450 |
| Practice Telephone | 3054901778 |
| Practice Fax Number | 3052497973 |
| Mailing Telephone | 3054901778 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 7109 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSF | Z126B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1083129613 | Kathleen Yezek Johnson | Speech-Language Pathologist | 4700 School Rd, Ringwood, IL 60072-9606 | 2017-12-05 |
| 1366966616 | Kathleen M Johnson | Registered Nurse | 3525 W Oxford Ave Unit G-2, Denver, CO 80236-3114 | 2017-07-28 |
| 1912433889 | Kathleen Johnson | Dietitian, Registered | 1635 Belt St, Baltimore, MD 21230-4705 | 2017-05-11 |
| 1700214392 | Kathleen Johnson | Nurse Practitioner | 30 E Huron St Apt 1002, Chicago, IL 60611-2742 | 2013-10-17 |
| 1942541503 | Kathleen Anne Johnson | Speech-Language Pathologist | 841 N Downs St Ste C, Ridgecrest, CA 93555-3380 | 2013-03-07 |
| 1386922441 | Kathleen O'hara Johnson | Internal Medicine | 6330 Riverdale Rd, Riverdale, GA 30274-1617 | 2011-07-23 |
| 1124310198 | Kathleen Theresa Johnson | Nurse Practitioner | 113 N Campbell Rd, Royal Oak, MI 48067-2345 | 2011-05-10 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1710165360 | Kathleen Mcgraw Johnson | Social Worker | 22800 Golfview Dr, Southfield, MI 48033-6648 | 2008-02-06 |
| Street Address |
600 SW 3RD ST SUITE 6126 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33060-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278270 | Total Renal Care Inc | Clinic/Center | 600 Sw 3rd St, Ste 1100, Pompano Beach, FL 33060-6936 | 2006-03-11 |
| 1922344175 | True Blue Home Health Care Corp | Home Health | 600 Sw 3rd St, Suite 5100g, Pompano Beach, FL 33060-6932 | 2012-12-17 |
| 1245508977 | Donna B Kenney | Counselor | 600 Sw 3rd St, #6126, Pompano Beach, FL 33060-6932 | 2011-12-08 |
| 1548538432 | David L Ferguson | Social Worker | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2011-12-06 |
| 1164721379 | Donna M Bivona | Counselor | 600 Sw 3rd St, #3400, Pompano Beach, FL 33060-6932 | 2011-03-28 |
| 1568793982 | Christian Behavioral Health Specialists | Psychologist | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2010-01-25 |
| 1013147834 | Wc Wellness LLC | Nurse Practitioner | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2009-07-15 |
| 1740456300 | Heather Jordon Clark Phd LLC | Psychologist | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2008-05-05 |
| 1649463449 | Windy Hill Institute, Inc | Community/Behavioral Health | 600 Sw 3rd St, Suite 6126, Pompano Beach, FL 33060-6932 | 2007-08-24 |
| 1437267747 | Denise Ann Canchola | Nurse Practitioner | 600 Sw 3rd St, Suite 2270, Pompano Beach, FL 33060-6932 | 2006-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1184234510 | Mediplus Clinic | Clinic/Center | 151 Sw 6th Street, Pompano Beach, FL 33060 | 2020-07-31 |
| 1912566415 | Sophia Thompson | Specialist/Technologist | 817 N Dixie Highway, Pompano Beach, FL 33060 | 2019-06-07 |
| 1508342460 | Gayta Prospere | Counselor | 871 North Dixie Highway, Pompano Beach, FL 33060 | 2018-07-13 |
| 1801303847 | Mediplus Clinic, Inc | General Practice | 151-155 Sw 6th Street, Pompano Beach, FL 33060 | 2017-12-29 |
| 1932624673 | Molly Waterway | Technician, Other | 200 Sw 16th St., Pompano Beach, FL 33060 | 2017-08-03 |
| 1366965089 | Jordan Terrell Striggles | Technician, Other | 1871 Nw 5th Terr, Pompano Beach, FL 33060 | 2017-07-25 |
| 1568832848 | Richard Orlan | Hearing Instrument Specialist | 550 S.w. 3rd St., #101b, Pompano Beach, FL 33060 | 2015-09-30 |
| 1700270808 | Lab Geeks, LLC | Clinical Medical Laboratory | 1701 Green Road, Suite B, Deerfield Beach, FL 33060 | 2015-03-26 |
| 1023412236 | Jesica Christine Velez | Behavioral Analyst | 911 East Atlantic Bulevard #108a, Pompano Beach, FL 33060 | 2014-10-17 |
| Find all providers in zip 33060 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918633 | Jonquil Crowoll | Counselor | 2510 Ne 3rd Ave, Pompano Beach, FL 33064-3845 | 2020-09-28 |
| 1942815642 | Brenda Joy Mann Zalka | Counselor | 1600 S Federal Hwy Ste 941, Pompano Beach, FL 33062-7520 | 2020-09-10 |
| 1154931210 | David L Manning | Counselor | 4311 Crystal Lake Dr, 203, Pompano Beach, FL 33064-3306 | 2020-08-04 |
| 1265068506 | Freedom To Grow Therapy, LLC | Counselor | 1641 Nw 2nd Ave, Pompano Beach, FL 33060-5217 | 2020-03-18 |
| 1982169884 | Stefanie Sedotto | Counselor | 2601 Ne 9th Ave, Pompano Beach, FL 33064-6416 | 2019-02-05 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1447623517 | Kaitlin Leithauser | Counselor | 3100 N Course Ln Apt 305, Pompano Beach, FL 33069-5407 | 2015-11-11 |
| 1871974774 | Leonides Perez | Counselor | 2301 W Sample Road, Bldg 4 Suite 1a, Pompano Beach, FL 33073 | 2015-06-16 |
| 1609207760 | Andres Lopez-munoz | Counselor | 1421 S Ocean Blvd Apt 407, Pompano Beach, FL 33062-7399 | 2013-11-27 |
| 1669733622 | Kristen A Tolbert | Counselor | 1000 E Atlantic Blvd, Pompano Beach, FL 33060-7479 | 2012-06-06 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33060 |
Please comment or provide details below to improve the information on KATHLEEN ANNE 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.