MS. JACQUELINE JOHNSON (NPI# 1346794401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346794401 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE JOHNSON |
| Practice Address |
1109 Sir Francis Drake Blvd Kentfield CA 94904-1418 |
| Practice Telephone | 4152569995 |
| Mailing Telephone | 4152569995 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 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 |
1109 SIR FRANCIS DRAKE BLVD |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891833604 | John Paul Whitty II | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2007-02-02 |
| 1861012445 | Emerson Flores | Registered Nurse | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2020-04-23 |
| 1275153843 | Vannessa Lyn Rostchild | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2020-04-23 |
| 1619432085 | Mariya Katrina Gibson | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2019-02-09 |
| 1982123535 | Isaac Teckie | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-09-14 |
| 1861914574 | Anahi E Vasquez I | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-07-13 |
| 1548708712 | Tina Louise Stanford | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-02-07 |
| 1497111850 | Chelsea Tomsic | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2016-01-14 |
| 1730552183 | Vanessa Powers | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-11-06 |
| 1538531744 | Maria Beeler | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1275153843 | Vannessa Lyn Rostchild | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2020-04-23 |
| 1619432085 | Mariya Katrina Gibson | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2019-02-09 |
| 1982123535 | Isaac Teckie | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-09-14 |
| 1548708712 | Tina Louise Stanford | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2017-02-07 |
| 1497111850 | Chelsea Tomsic | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2016-01-14 |
| 1730552183 | Vanessa Powers | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-11-06 |
| 1538531744 | Maria Beeler | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-10-27 |
| 1255716429 | Jenny Benoit | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-07-29 |
| 1003296195 | Dustin Jacobsen | Counselor | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2015-06-03 |
| Find all providers in KENTFIELD | ||||
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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.