EMILY ROTH JOHNSON (NPI# 1316077860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316077860 |
| Entity Type | Individual |
| Full Name | EMILY ROTH JOHNSON |
| Other Name | EMILY LEIGH ROTH |
| Credential | LPC |
| Practice Address |
500 Lake Steel Street Green Lake WI 54941 |
| Mailing Address |
Po Box 588 Green Lake WI 54941-0588 |
| Practice Telephone | 9202944070 |
| Practice Fax Number | 9202944139 |
| Mailing Telephone | 9202944070 |
| Mailing Fax Number | 9202944139 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
3349125 | WI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
3349125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40994500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1447861554 | Emily Margaret Johnson | Registered Nurse | 509 Casey Ln, Rockville, MD 20850-7744 | 2020-08-12 |
| 1942841051 | Emily Johnson | Physical Therapist | 2225 W Southern Ave Unit B, Mesa, AZ 85202-4716 | 2019-10-01 |
| 1932665981 | Emily Collen Johnson | Counselor | 850 S 42nd St, Springfield, OR 97478-6670 | 2019-02-14 |
| 1710458922 | Emily Madison Johnson | Doula | 2 Pepperwood Ct, Menlo Park, CA 94025-3578 | 2018-12-16 |
| 1003328683 | Emily Johnson | Behavior Technician | 183 Bay State Rd Apt 1r, Boston, MA 02215-1506 | 2017-11-03 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1477086486 | Emily Johanna Johnson | Chiropractor | 16645 W Greenfield Ave Ste D, New Berlin, WI 53151-1546 | 2017-04-06 |
| 1881144368 | Emily Johnson | Physical Therapist | 331 Liveoak Ct, Martinez, CA 94553-3573 | 2016-10-10 |
| 1720534738 | Emily Johnson | Specialist/Technologist | 2365 Highlandtown Dr, Hilliard, OH 43026-8626 | 2016-08-30 |
| Street Address |
500 LAKE STEEL STREET |
| City | GREEN LAKE |
| State | WI |
| Zip Code | 54941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073640736 | Mari Ann Krueger | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1679600340 | Ann Loretta Frintner | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622280 | Community Medical Center of Green Lake, LLC | Family Medicine | 670 County Road A, Green Lake, WI 54941 | 2008-06-16 |
| 1144411612 | Green Lake School District | Local Education Agency (LEA) | 612 Mill St, Green Lake, WI 54941 | 2007-08-08 |
| 1013072750 | Colleen Pomplun | Chiropractor | 505 Lake Street, Green Lake, WI 54941 | 2006-12-22 |
| 1407849433 | James M Williams | Family Medicine | 670 Cty Rd A, Green Lake, WI 54941 | 2005-08-24 |
| 1902373103 | Trina Hernandez | Nurse Practitioner | 670 County Road A, Green Lake, WI 54941 | 2018-10-26 |
| 1821597311 | Sara Rose Rhode | Counselor | 571 County Road A, Green Lake, WI 54941 | 2018-02-09 |
| 1366857146 | Kevin Daniel Castleberry | Dentist | 560 Mill St, Green Lake, WI 54941 | 2014-06-30 |
| 1780867408 | County of Green Lake | Counselor | 571 County Road A, Green Lake, WI 54941 | 2007-12-17 |
| 1306986716 | Green Lake Medical Clinic, S.c. | Family Medicine | N6205 Busse Drive, Green Lake, WI 54941 | 2007-02-07 |
| 1144385873 | Chiroplus Complimentary Health Care Center LLC | Chiropractor | 505 Lake Street, Green Lake, WI 54941 | 2006-12-22 |
| Find all providers in zip 54941 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073640736 | Mari Ann Krueger | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1700388782 | Brooke D Bruce | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2018-03-06 |
| 1841599859 | Gretchen M Malkowsky | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2011-03-17 |
| 1104125020 | Amy M Higginbotham | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2011-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | GREEN LAKE |
| Zip Code | 54941 |
Please comment or provide details below to improve the information on EMILY ROTH 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.