MRS. PENNY ARLENE JOHNSON (NPI# 1306234885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306234885 |
| Entity Type | Individual |
| Full Name | MRS. PENNY ARLENE JOHNSON |
| Credential | MA |
| Practice Address |
1322 N Avalon Blvd Wilmington CA 90744 |
| Mailing Address |
1322 N Avalon Blvd Wilmington CA 90744-2639 |
| Practice Telephone | 3108310006 |
| Mailing Telephone | 3105131300 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT85732 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300780 | Penny Johnson | Technician | 4408 E Azure Ave, Las Vegas, NV 89115-6028 | 2020-03-09 |
| 1003822933 | Penny Lee Johnson | Dental Hygienist | 11281 Se Stevens Rd Apt 203, Portland, OR 97266-8314 | 2006-07-31 |
| 1396169538 | Penny Ann Johnson | Registered Nurse | 4200 Se Adams Rd, Bartlesville, OK 74006-8448 | 2014-02-07 |
| 1558696435 | Penny Johnson | Counselor | 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 | 2009-10-09 |
| 1376662643 | Penny Johnson | Counselor | 914 Ne 3rd St, Madison, SD 57042-2435 | 2007-03-28 |
| 1588794036 | Penny Johnson | Case Manager/Care Coordinator | 106 W North St, Cortez, CO 81321-3119 | 2007-03-06 |
| 1821186735 | Penny Fleetwood Johnson | Nurse Practitioner | 106 Milford St, Suite 605, Salisbury, MD 21804-6953 | 2006-10-10 |
| Street Address |
1322 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972669257 | Aegis Treatment Centers, LLC | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2006-12-29 |
| 1225635774 | Kailisha Foreman | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-10-07 |
| 1811507288 | Yanett Romero | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744 | 2020-07-31 |
| 1134769201 | Aiysha Jenkins | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-01-07 |
| 1902453079 | Joann Dumas | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-22 |
| 1114573888 | Jasmina De Jesus Valdivia | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-17 |
| 1801442892 | Marilyn Denise Smith | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-14 |
| 1649823766 | Karryn Gray-harris | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-07-17 |
| 1114587466 | Rocio Gomez | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-06-19 |
| 1932673258 | Elizabeth Quezada | Counselor | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676980 | Marilyn Kleist | Marriage & Family Therapist | 920 N Avalon Blvd, Wilmington, CA 90744-4504 | 2020-07-10 |
| 1629604640 | Luisa Silva-casullo | Marriage & Family Therapist | 105 Delview Dr, Wilmington, DE 19810-4407 | 2020-03-21 |
| 1831729771 | Cathy Cosentino | Marriage & Family Therapist | 1509 Market St, Wilmington, NC 28401-4910 | 2020-01-20 |
| 1407362601 | Chresencia Deidra Alicea | Marriage & Family Therapist | 5201 W Woodmill Dr Ste 31, Wilmington, DE 19808-4068 | 2017-12-26 |
| 1790192607 | Healing Goddess Interprises LLC | Marriage & Family Therapist | 15 Cragmere Rd, Wilmington, DE 19809-2308 | 2014-07-14 |
| 1720428758 | Joshua Robert Fowler | Marriage & Family Therapist | 120 St James St, Wilmington, NC 28401-4722 | 2013-07-05 |
| 1639415029 | Adekanla Jackson | Marriage & Family Therapist | 811 Brandywine Blvd, Bellefonte Healing Center, Wilmington, DE 19809-2961 | 2012-12-13 |
| 1275889685 | Jessica Kylie Morman | Marriage & Family Therapist | 5917 Oleander Dr Ste 202, Wilmington, NC 28403-4709 | 2012-08-03 |
| 1184995847 | Krista Ausra Bronisas | Marriage & Family Therapist | 243 Beech St, Wilmington, NC 28405-4121 | 2012-01-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on MRS. PENNY ARLENE 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.