JACQUELINE JOHNSON (NPI# 1306206297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306206297 |
| Entity Type | Individual |
| Full Name | JACQUELINE JOHNSON |
| Practice Address |
325 Ebenezer Rd Knoxville TN 37923-5310 |
| Practice Telephone | 8656700988 |
| Mailing Telephone | 8656700988 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3560 | TN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
3560 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
325 EBENEZER RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447286778 | Katherine Lynne Moles | Psychologist | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2006-06-26 |
| 1467063818 | Eileen S Bowman | Social Worker | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2020-08-10 |
| 1649898198 | Patricia Wade | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2020-07-10 |
| 1396218459 | Lisa Orient Matthews | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2019-01-10 |
| 1306318951 | Amy Smyth Cofer | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2018-12-20 |
| 1578092383 | Nathan West | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2017-06-06 |
| 1396135711 | Gretchen Fromke | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2015-01-24 |
| 1609212489 | Terry Lee Holt II | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2013-05-20 |
| 1477996676 | Kevin Mischler | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2013-04-08 |
| 1740421213 | Mary Elizabeth Berry | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512377 | Wes Allen | Counselor | 123 Center Park Dr, Knoxville, TN 37922-2166 | 2020-09-12 |
| 1619581717 | Natasha Schwinn | Counselor | 2015 Maplewood Dr, Knoxville, TN 37920-2750 | 2020-09-04 |
| 1316558695 | Lauren Claire Lay | Counselor | 123 Center Park Dr Ste 104, Knoxville, TN 37922-2167 | 2020-08-11 |
| 1285250423 | Krista Asp | Counselor | 504 Bobolink Rd, Knoxville, TN 37934-4722 | 2020-06-23 |
| 1710507660 | Constance King | Counselor | 9111 Cross Park Dr Ste E275, Knoxville, TN 37923-4532 | 2020-04-21 |
| 1407402688 | Allysen Efferson | Counselor | 9505 Fortress Ln, Knoxville, TN 37922-6683 | 2019-08-14 |
| 1265096242 | Leigh Mitchell Owens | Counselor | 5401 Kingston Pike Ste 495, Knoxville, TN 37919-5043 | 2019-04-25 |
| 1205399003 | Ann Clark Wheeler | Counselor | 6906 Kingston Pike Ste 104, Knoxville, TN 37919-5704 | 2019-04-09 |
| 1609335140 | Emily Ruth Ellis | Counselor | 416 Country Oak Cir, Knoxville, TN 37909-3430 | 2019-03-14 |
| 1154891596 | Lesley Shiver | Counselor | 4109 Garden Dr, Knoxville, TN 37918-3504 | 2018-11-28 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on JACQUELINE 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.