MR. KENNETH CORNELL JOHNSON JR. (NPI# 1487144952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487144952 |
| Entity Type | Individual |
| Full Name | MR. KENNETH CORNELL JOHNSON JR. |
| Credential | CDCA |
| Practice Address |
91 Park Ave W Mansfield OH 44902-1630 |
| Mailing Address |
232 Wimbledon Dr Mansfield OH 44906-2451 |
| Practice Telephone | 5673077269 |
| Mailing Telephone | 4195712188 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
040353 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756414 | Kenneth Byron Johnson | Physical Therapist | 36 Lavelle Court, Unalaska, AK 99685 | 2017-01-10 |
| 1932565280 | Kenneth Johnson | Case Manager/Care Coordinator | 1138 N Dupre St, New Orleans, LA 70119-3204 | 2015-12-31 |
| 1003223298 | Kenneth Johnson | Specialist/Technologist | 6201 San Amaro Dr, Coral Gables, FL 33146-2407 | 2014-07-19 |
| 1831511807 | Kenneth Larry Johnson I | Local Education Agency (LEA) | 216 Ne 19th Ave, Pompano Beach, FL 33060-6743 | 2014-01-10 |
| 1700222544 | Kenneth Paul Johnson | Pharmacist | 506 Augsburg Ave, Bismarck, ND 58504-7005 | 2013-05-20 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1760750194 | Kenneth Casper Johnson | Obstetrics & Gynecology | 3915 Skyline Rd, Carlsbad, CA 92008-2746 | 2011-12-13 |
| 1225305931 | Kenneth Lorenzo Johnson | Psychologist | 7605 W 7 Mile Rd, Detroit, MI 48221-2163 | 2011-11-23 |
| 1528371408 | Kenneth Johnson | Physical Therapist | 10753 Falls Rd Ste 235, Lutherville, MD 21093-4597 | 2010-07-20 |
| 1164653036 | Kenneth R Johnson | Pharmacist | Knight Service Company, 2520 Industrial Row Drive, Troy, MI 48084 | 2009-07-27 |
| Street Address |
91 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44902-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285110577 | Valerie L Catchings | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376069757 | Deborah L Niederhuber | Registered Nurse | 40 W 4th St., Mansfield, OH 44902 | 2017-08-17 |
| 1174978183 | Rebecca A Wagers | Community Health Worker | 28 Park Avenue West, Suite 300, Mansfield, OH 44902 | 2016-04-27 |
| 1053644336 | The Sun Home Health Care At Mansfield, Inc | Home Health | 166 Park Ave W., Suite 205, Mansfield, OH 44902 | 2009-09-17 |
| 1821248899 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 380 N. Main St., Suite L101, Mansfield, OH 44902 | 2008-09-25 |
| 1518134824 | Walter E Glenn Dds Inc | Dentist | 13 Park Ave West Suite 517, Walter E Glenn Dds Inc, Mansfield, OH 44902 | 2008-05-15 |
| 1174708853 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 92 N. Diamond St., Mansfield, OH 44902 | 2007-12-31 |
| 1225195449 | Rod L Staker | Dentist | 61 North Mulberry Street, Mansfield, OH 44902 | 2007-01-03 |
| 1841398328 | Velma F Anderson | Speech-Language Pathologist | 255 Hedges Street, Suite A, Mansfield, OH 44902 | 2006-09-20 |
| 1093746679 | Walter Edward Glenn | Dentist | 13 Park Avenue West, Suite 517, Mansfield, OH 44902 | 2006-07-05 |
| 1023056702 | First Choice Home Health of Ohio Inc | Home Health | 1227 Park Ave West, Mansfield, OH 44902 | 2006-06-03 |
| Find all providers in zip 44902 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891989 | Soulace Group LLC | Counselor | 91 Park Ave W Ste A, Mansfield, OH 44902-1630 | 2020-02-03 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1720564768 | Kurt Billups | Counselor | 6970 Dick Price Rd, Mansfield, TX 76063-5288 | 2018-07-12 |
| 1104323898 | Kristin Jones | Counselor | 680 Park Ave. West, Mansfield, OH 44906-4490 | 2018-04-09 |
| 1912403130 | Scott Haverd Hudnall | Counselor | 608 Park Ave W, Mansfield, OH 44906-3769 | 2018-04-05 |
| 1609387786 | Thomas W Schluter Jr. | Counselor | 780 Park Ave W Ste D, Mansfield, OH 44906-3009 | 2017-10-17 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1235680075 | Sarah Hurst-pelfrey | Counselor | 680 Park Avenue West, Mansfield, OH 44906-2641 | 2016-10-17 |
| 1013397595 | Wesley Kyser | Counselor | 2 Smith Ave, Mansfield, OH 44905-2855 | 2015-06-01 |
| 1902234453 | Mindful Life In Action | Counselor | 1183 Lexington Ave, Mansfield, OH 44907-2252 | 2013-10-21 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on MR. KENNETH CORNELL JOHNSON JR..
| 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.