DR. CARA RAE JOHNSON (NPI# 1427042076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427042076 |
| Entity Type | Individual |
| Full Name | DR. CARA RAE JOHNSON |
| Credential | MSW, PSY.D. |
| Practice Address |
340 Kelley Pkwy Mexico MO 65265 |
| Mailing Address |
340 Kelley Pkwy Mexico MO 65265-3811 |
| Practice Telephone | 5735821234 |
| Practice Fax Number | 5735811981 |
| Mailing Telephone | 5735821234 |
| Mailing Fax Number | 5735811981 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2019-02-25 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2006016141 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2006016141 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
005949 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 491638904 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Kelley Pkwy, Mexico, MO 65265 | 5735821234 | 5735811981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487015350 | Cara J Johnson | Nurse's Aide | 7870 Glenorchard Dr, Cincinnati, OH 45237 | 2016-03-18 |
| 1003246836 | Cara Johnson | Physical Therapist | 3070 Lakecrest Cir Ste 700, Lexington, KY 40513-1770 | 2013-11-14 |
| 1508095332 | Cara Lee Johnson | Family Medicine | 300 East 20th Street, Suite 300, Cheyenne, WY 82001-3882 | 2009-07-14 |
| 1588017008 | Cara Johnson | Marriage & Family Therapist | 38460 Lincoln Trl, North Branch, MN 55056-5834 | 2016-07-20 |
| 1477899128 | Cara Racheal Johnson | Nurse Practitioner | 8061 Alameda Ave, El Paso, TX 79915-4705 | 2012-12-28 |
| Street Address |
340 KELLEY PKWY |
| City | MEXICO |
| State | MO |
| Zip Code | 65265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125552 | Cynthia Mae Mackey | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2005-06-21 |
| 1912517749 | David H Kang | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-08-06 |
| 1437771789 | Amy N Fuemmeler | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-05-09 |
| 1013559517 | Kristen Ann Fishback | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1861034381 | Kimberly Mae Kirklin | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1851942619 | Kelsey Kingsborough | Nurse Practitioner | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-09-24 |
| 1619538923 | Ailene Invencion | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-06-26 |
| 1851853923 | Sandra Ann Willis | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-04-05 |
| 1962969667 | Haley Elizabeth Auwarter | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-02-28 |
| 1568953057 | Lab One LLC | Clinical Medical Laboratory | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314582 | Dennis Ray Campbell | Psychologist | 321 West Promenade, Mexico, MO 65251-1753 | 2008-04-29 |
| 1881733491 | Evergreen Behavioral Services, LLC | Psychologist | 116 S Jefferson St, Mexico, MO 65265-2842 | 2007-02-06 |
| 1952475519 | Lisa K. Schriewer-clervi | Psychologist | 207 E Jackson St, Mexico, MO 65265-2820 | 2006-11-17 |
| 1053334722 | Patrick Giles Finder | Psychologist | 734 W Monroe St, Mexico, MO 65265-1970 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1750994547 | Ashley Brauer | Psychologist | 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 | 2020-08-31 |
| 1316559594 | Core Therapy & Diagnostics, LLC | Psychologist | 186 S Payne Stewart Dr Ste 151, Branson, MO 65616-2792 | 2020-08-19 |
| 1538770284 | Meigs Psychological Services LLC | Psychologist | 529 Newport Ave, Saint Louis, MO 63119-2517 | 2020-08-14 |
| 1235748773 | Kendra Krietsch | Psychologist | 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 | 2020-07-30 |
| 1427674001 | Laura Ellen Glover-orr | Psychologist | 5719 Delor St, Saint Louis, MO 63109-2831 | 2020-06-19 |
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1376069674 | Petra Jo Mcguire | Psychologist | 2104 S Garrison Ave, Carthage, MO 64836-3614 | 2017-08-17 |
| 1740701762 | Krownapple Kare, PC | Psychologist | 3400 South Jefferson, St Louis, MO 63118-3120 | 2017-06-29 |
| 1902338304 | James Feinberg | Psychologist | 10900 Manchester Rd Ste 201, Kirkwood, MO 63122-1200 | 2017-04-03 |
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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.