MRS. PHYLLIS W JOHNSON (NPI# 1376681072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376681072 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS W JOHNSON |
| Credential | LPC |
| Practice Address |
325 Ebenezer Rd Knoxville TN 37923 |
| Practice Telephone | 8656700988 |
| Practice Fax Number | 8656701991 |
| Mailing Telephone | 8656700988 |
| Mailing Fax Number | 8656701991 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC788 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 3130541 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114268281 | Phyllis Lee Johnson | Nurse Practitioner | 11535 W Minneola Dr, Marana, AZ 85653-8158 | 2013-03-13 |
| 1568985588 | Phyllis Ann Johnson | Behavior Technician | 10 Parsonage Rd Ste 318, Edison, NJ 08837-2429 | 2017-07-21 |
| 1487180295 | Phyllis Johnson | Counselor | 500 Walnut St, 3rd Floor, Mckeesport, PA 15132-2801 | 2017-05-11 |
| 1467645556 | Phyllis Johnson | Case Manager/Care Coordinator | 700 E Haywood St, England, AR 72046-1400 | 2007-08-22 |
| 1073531091 | Phyllis Polk Johnson | Nurse Practitioner | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-07-17 |
| Street Address |
325 EBENEZER RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923 |
| 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 |
| 1306206297 | Jacqueline Johnson | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2016-03-04 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1932727815 | Abbey Nicole Reeves | Counselor | 2455 Sutherland Ave Bldg F, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1932732435 | Todd M Davis | Counselor | 5104 Beaver Dam Ln, Knoxville, TN 37931-3688 | 2020-02-13 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1578020566 | Talia Lee Mccarty | Counselor | 2455 Sutherland Ave Bldg A, Knoxville, TN 37919-2355 | 2019-02-26 |
| 1932679065 | Edna Booker | Counselor | 3213 River Maple Way Apt 307, Knoxville, TN 37914-6374 | 2018-12-02 |
| 1881183408 | Sarah Leeann Mcmahan I | Counselor | 5310 Ball Camp Pike # 76, Knoxville, TN 37921-3234 | 2018-05-09 |
| 1346765104 | Melanie Beth Hasson | Counselor | 9041 Executive Park Dr Ste Office17, Knoxville, TN 37923-4621 | 2017-08-13 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1447607775 | Lisa Marie Jones | Counselor | 123 Center Park Dr Ste 106, Knoxville, TN 37922-2168 | 2016-05-17 |
| 1629498209 | Jacob David Smith | Counselor | 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 | 2014-04-22 |
| Find all providers in KNOXVILLE | ||||
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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.