DR. JACK ALLEN JOHNSON JR. (NPI# 1295992030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992030 |
| Entity Type | Individual |
| Full Name | DR. JACK ALLEN JOHNSON JR. |
| Credential | PH.D. |
| Practice Address |
12469 Timberwood Dr Walker LA 70785-5743 |
| Practice Telephone | 2254855763 |
| Mailing Telephone | 2254855763 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 990 | LA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
990 | LA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
990 | LA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
990 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1881129419 | Jack Alston Johnson | Emergency Medicine | 2300 Lone Star Rd, Mansfield, TX 76063-8744 | 2017-04-20 |
| 1396063418 | Jack Simpson Johnson | General Practice | 979 Mt. Vernon Rd., Cookeville, TN 38501 | 2010-05-13 |
| 1548332570 | Jack W Johnson | Psychiatry & Neurology | 12377 Lewis Street, Suite #104, Garden Grove, CA 92840-4691 | 2006-11-14 |
| 1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
| 1730699695 | Jack N Johnson | Naturopath | 5603 38th Ave Nw, Gig Harbor, WA 98335-8218 | 2017-10-05 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
| 1902912322 | Jack F Johnson Jr. | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1801859996 | Jack Leegon Johnson Jr. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2006-04-10 |
| 1356316996 | Jack Johnson | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-02-17 |
| Street Address |
12469 TIMBERWOOD DR |
| City | WALKER |
| State | LA |
| Zip Code | 70785-5743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437316031 | Deann Morris Johnson | Psychologist | 12469 Timberwood Dr, Walker, LA 70785-5743 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
| 1275994956 | Shelby Reeder | Counselor | 31947 Little Flock Circle, Walker, LA 70785 | 2016-03-09 |
| 1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
| 1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
| 1497011548 | April Taylor Sanchez | Dermatology | 29799 Walker Rd S, Walker, LA 70785 | 2012-04-03 |
| 1457622219 | Village Pharmacy | Pharmacy | 29811 Walker South Rd., Walker, LA 70785 | 2012-01-25 |
| 1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
| 1689962821 | Village Pharmacy 2 | Home Health | 29811 Walker South Rd, Walker, LA 70785 | 2011-07-20 |
| 1316237928 | Village Pharmacy At Walker | Pharmacy | 29811 Walker South Road, Walker, LA 70785 | 2011-04-15 |
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| Find all providers in zip 70785 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437316031 | Deann Morris Johnson | Psychologist | 12469 Timberwood Dr, Walker, LA 70785-5743 | 2008-05-21 |
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|---|---|---|---|---|
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| 1043849987 | Fcfiv, LLC | Psychologist | 6161 Perkins Rd Ste 1d, Baton Rouge, LA 70808-4119 | 2020-04-03 |
| 1396397816 | Eileen Marie Palace | Psychologist | 2820 Napoleon Ave Ste 340, New Orleans, LA 70115-6977 | 2019-07-15 |
| 1356906812 | Jinaki Flint | Psychologist | 7934 Edinburgh Street, New Orleans, LA 70125 | 2019-05-09 |
| 1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
| 1134601891 | Meghan Borne | Psychologist | 1000 Airbase Rd., Pollock, LA 71467 | 2018-08-29 |
| 1518452036 | Leigh Miller | Psychologist | 7611 Maple St Ste A2, New Orleans, LA 70118-5068 | 2018-06-27 |
| 1396238275 | Lafayette Psychology Center, LLC | Psychologist | 905 Jefferson St Ste 410, Lafayette, LA 70501-7900 | 2018-06-14 |
| 1376041079 | Leigh Ann Hess | Psychologist | 5615 Jackson St Ext Bldg K, Alexandria, LA 71303-2326 | 2018-01-28 |
| 1235649542 | Andrew Magers | Psychologist | 17534 Old Jefferson Hwy Ste B2, Prairieville, LA 70769-3978 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
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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.