MR. CODY WILLIAM JOHNSON (NPI# 1457854044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457854044 |
| Entity Type | Individual |
| Full Name | MR. CODY WILLIAM JOHNSON |
| Credential | LPC, NCC |
| Practice Address |
2273 S Vista Ave Ste 190 Boise ID 83705-7341 |
| Practice Telephone | 2083432737 |
| Practice Fax Number | 2083423238 |
| Mailing Telephone | 2083432737 |
| Mailing Fax Number | 2083423238 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-6773 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-6773 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LPC-6773 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881904613 | Cody Johnson | Social Worker | Trailtalk, 3585 N University Ave. Ste 250, Provo, UT 84604 | 2010-10-14 |
| 1023265170 | Cody S Johnson | Dentist | 201 Dental Science S, Iowa City, IA 52242-1001 | 2008-08-20 |
| 1154464709 | Cody Johnson | Physical Therapist | 820 S Alma Dr Ste 100, Allen, TX 75013-3809 | 2007-02-14 |
| 1700400553 | Cody Johnson | Physical Therapy Assistant | 809 S Broad St Sw, Rome, GA 30161-4654 | 2020-06-07 |
| 1306346705 | Cody Johnson | Behavior Technician | 6100 Colleyville Blvd Ste 135, Colleyville, TX 76034-8038 | 2018-02-13 |
| 1821522681 | Cody Johnson | Emergency Medicine | 2120 L St Nw Ste 450, Washington, DC 20037-1541 | 2017-04-18 |
| 1285176842 | Cody Johnson | Peer Specialist | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2016-11-14 |
| 1558711911 | Cody Tyler Johnson | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2016-06-16 |
| 1104241595 | Cody Reid Johnson | Radiology | 8901 Rockville Pike, Bethesda, MD 20889-2197 | 2014-02-22 |
| Street Address |
2273 S VISTA AVE STE 190 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932406527 | Amber Jean Diehl | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2011-02-17 |
| 1619514510 | Cedric Joesph Decory Jr. | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2019-12-10 |
| 1043799653 | Jocelyn Schelske | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2018-08-14 |
| 1316476260 | Heidi Kaye Cisney | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2017-06-05 |
| 1124486907 | Josie Boggs | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2016-02-08 |
| 1659761500 | Merie Maccallum | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2015-01-30 |
| 1942622188 | Katherine Holbrook | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2014-01-07 |
| 1093155871 | Risa G. Mortensen | Counselor | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2013-06-26 |
| 1689973588 | Pamela Marie Hooper | Social Worker | 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 | 2011-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1972138485 | Lesha Renee Brandt | Counselor | 7950 Horseshoe Bend Rd, Boise, ID 83714-3809 | 2020-03-04 |
| 1235783564 | Stephanie Therese Breitenstein | Counselor | 4310 W Clark St, Boise, ID 83705-2024 | 2019-07-25 |
| 1124687520 | Something Different Counseling LLC | Counselor | 6126 W State St # 409, Boise, ID 83703-2741 | 2019-06-10 |
| 1548727118 | Elsa Francis Willis | Counselor | 190 E Front St Apt 420, Boise, ID 83702-7316 | 2019-03-01 |
| 1841763778 | Jana Lyn Taylor | Counselor | 2928 S Mayflower Way, Boise, ID 83709-8567 | 2019-01-03 |
| 1417436601 | Laura Burdette | Counselor | 4696 W Overland Rd Ste 168, Boise, ID 83705-2878 | 2018-08-09 |
| 1114405925 | Garrett Price | Counselor | 17917 N Evanton Way, Boise, ID 83714-5524 | 2018-08-02 |
| 1518457332 | Rebecca Lindsey Gonzales | Counselor | 6625 W Holiday Dr, Boise, ID 83709-2023 | 2018-05-16 |
| 1417445461 | Sarah Harris | Counselor | 10020 W Fairview Ave Ste 204, Boise, ID 83704-8571 | 2018-04-25 |
| Find all providers in BOISE | ||||
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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.