LANCE CORDELL JOHNSON (NPI# 1275806010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275806010 |
| Entity Type | Individual |
| Full Name | LANCE CORDELL JOHNSON |
| Practice Address |
7908 Nw 23rd St Bethany OK 73008-4950 |
| Mailing Address |
7508 S Linn Ave Oklahoma City OK 73159-4612 |
| Practice Telephone | 4056361463 |
| Mailing Telephone | 4054431481 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| 1568505873 | Lance A Johnson | Chiropractor | 224 N Main Street, New City, NY 10956 | 2007-02-15 |
| 1699795864 | Lance M Johnson | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2006-07-20 |
| 1740676907 | Lance Johnson | Family Medicine | 310 Santa Fe Dr, Encinitas, CA 92024-5110 | 2015-04-14 |
| 1023284585 | Lance Gregory Johnson | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2008-05-05 |
| Street Address |
7908 NW 23RD ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497022 | Lucinda Dawn Maddox | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2006-11-24 |
| 1023415478 | Jennee Chew-jones | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2014-12-01 |
| 1528309994 | Melissa Gragg | Counselor | 7908 Nw 23rd St, Bethany, OK 73008 | 2013-03-11 |
| 1811240625 | Rachell Lynn Staats | Behavioral Analyst | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-10-17 |
| 1629320890 | Tara Herren | Registered Nurse | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-10-11 |
| 1982954152 | Todd Andrew Wilkerson | Behavioral Analyst | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-09-14 |
| 1538417613 | Courtney E Trudeau | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-08-21 |
| 1215283163 | Demetria J Moore | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-07-30 |
| 1891059697 | Brian Keith Litteral | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-06-27 |
| 1548524598 | Hasani Brandon Cooks | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598032575 | Kimberly Dawn Grate | Clinic/Center | 6909 Nw 60tth Street, Bethany, OK 73008-1917 | 2011-11-19 |
| 1184093270 | Red Skye Foundation | Clinic/Center | 110 Hatfield Hill Rd, Bethany, CT 06524-3523 | 2015-09-18 |
| 1548524598 | Hasani Brandon Cooks | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
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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.