MS. PATRICIA MARY JOHNSTON (NPI# 1306062617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306062617 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA MARY JOHNSTON |
| Credential | LCSW |
| Practice Address |
2 Eves Dr Suite 104 Marlton NJ 08053-3193 |
| Mailing Address |
2 Eves Drive Garden State Behavioral Health Suite 104 Marlton NJ 08053 |
| Practice Telephone | 8567978777 |
| Practice Fax Number | 8567976764 |
| Mailing Telephone | 8567978777 |
| Mailing Fax Number | 8567976764 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
44SC00034200 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CAQH ID | 11672844 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649577 | Patricia A. Johnston | Technician | 331 Lower Murphy Rd, Arbovale, WV 24915-5484 | 2020-08-11 |
| 1346525706 | Patricia Johnston | Occupational Therapist | 40 Collins Ave, Troy, NY 12180-4807 | 2011-10-18 |
| 1629377999 | Patricia Jo Johnston | Counselor | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2011-03-25 |
| 1306023304 | Patricia C Johnston | Pharmacist | 2810 Robert C Byrd Dr, Beckley, WV 25801-5238 | 2008-01-22 |
| 1366504581 | Patricia Ann Johnston | Social Worker | 401 Shady Ave, Suite B107, Pittsburgh, PA 15206-4409 | 2006-12-14 |
| Street Address |
2 EVES DR SUITE 104 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144396540 | Beatrice Bock | Social Worker | 2 Eves Dr, Ste 104, Marlton, NJ 08053-3193 | 2006-11-28 |
| 1619148780 | Steven David Winter | Social Worker | 2 Eves Dr, Suite 104, Marlton, NJ 08053-3193 | 2008-03-17 |
| 1932399060 | Garden State Behavioar Health Services South LLC | Counselor | 2 Eves Dr, Suite 104, Marlton, NJ 08053-3193 | 2007-07-25 |
| 1649392374 | Diane Carole Gottlieb | Social Worker | 2 Eves Dr, Suite 104, Marlton, NJ 08053-3193 | 2007-04-04 |
| 1710009758 | John B. Hudome Jr. | Social Worker | 2 Eves Dr, Suite 104, Marlton, NJ 08053-3193 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1972137727 | On Purpose Counseling | Counselor | 525 Route 73 S Ste 306b, Marlton, NJ 08053-9644 | 2020-03-02 |
| 1528472693 | Heather Wells | Counselor | 538 Kettle Run Rd, Marlton, NJ 08053-7142 | 2014-06-17 |
| 1053748392 | Sharnessa Bond | Counselor | 7 Gaylord Ln, Marlton, NJ 08053-1917 | 2013-10-01 |
| 1578907697 | Tina Maria Mazzocca | Counselor | 562 Lippincott Dr, Suite B, Marlton, NJ 08053-4810 | 2013-04-19 |
| 1649535717 | Quality Life Counseling Group, LLC | Counselor | 1 Eves Dr, Marlton, NJ 08053-3125 | 2012-07-05 |
| 1558538694 | Barri Lentini | Counselor | 49 Country Club Ln, Marlton, NJ 08053-9713 | 2008-05-08 |
| 1326073883 | Natalie Susan Gaber | Counselor | 1 Greentree Ctr Ste 201, Marlton, NJ 08053-3105 | 2006-07-12 |
| 1649898750 | Tiffany Blake | Counselor | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-07-06 |
| 1760008247 | Ariyon Fountaine | Counselor | 19 E Main St, Marlton, NJ 08053-2172 | 2020-06-22 |
| Find all providers in MARLTON | ||||
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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.