ROBERT L JOHNSON (NPI# 1205467206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205467206 |
| Entity Type | Individual |
| Full Name | ROBERT L JOHNSON |
| Credential | MC, MCAP, CMHP, CST |
| Practice Address |
403 Best Friends Turn Aly Mcdonough GA 30252-4844 |
| Practice Telephone | 5612391822 |
| Mailing Telephone | 5612391822 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | AZ | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| 1558726133 | Robert Johnson | Case Manager/Care Coordinator | 7540 Collins Ct, Jacksonville, FL 32244-5353 | 2015-12-23 |
| Street Address |
403 BEST FRIENDS TURN ALY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141156 | Shevlene Walker Burch | Counselor | 112 Windward Hls, Mcdonough, GA 30253-5991 | 2017-01-26 |
| 1659826378 | Franco Jordan | Counselor | 1473 Highway 20 W, Mcdonough, GA 30253-7306 | 2016-08-23 |
| 1568740603 | Namow Kcalba Featherstone | Counselor | 351 Interlake Pass, Mcdonough, GA 30252-8056 | 2011-07-22 |
| 1699065896 | Pauline Patricia Pennant | Counselor | 1205 Ethans Way, Mcdonough, GA 30252-1710 | 2011-04-09 |
| 1255620332 | Keisha T Tanner | Counselor | 338 Autumn Lake Dr, Mcdonough, GA 30253-6590 | 2011-03-29 |
| 1316176860 | Clyde William Sandford | Counselor | 1944 Brannan Rd, Mcdonough, GA 30253-4310 | 2009-07-06 |
| 1962520106 | Sharon Bryant Zellner | Counselor | 122 Chamlee Way, Mcdonough, GA 30252-6667 | 2007-03-26 |
| 1427669944 | Orett Thomas | Counselor | 207 Olde Town Way, Mcdonough, GA 30252-6887 | 2020-08-10 |
| 1245706985 | Victoria Miller | Counselor | 1705 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2018-10-20 |
| 1508332248 | Vmillerk Enterprises LLC | Counselor | 1705 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2018-10-20 |
| Find all providers in MCDONOUGH | ||||
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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.