MS. JACQUELINE M JOHNSON (NPI# 1487997078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487997078 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE M JOHNSON |
| Credential | LPC |
| Practice Address |
2625 Redwing Rd Ste 110 Fort Collins CO 80526-2878 |
| Mailing Address |
700 Butte Pass Dr Fort Collins CO 80526-3569 |
| Practice Telephone | 4047235192 |
| Mailing Telephone | 4044223923 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006739 | GA | 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 |
2625 REDWING RD STE 110 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1508337916 | Owens & Porter Pllc | Nurse Practitioner | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2018-12-10 |
| 1982103180 | Kelly Elise Ulmer | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2018-02-03 |
| 1467803379 | Robert Owens | Registered Nurse | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2016-06-22 |
| 1912309535 | Peak Clarity LLC | Social Worker | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978452 | Indepth Therapy, LLC | Counselor | 3307 S College Ave Unit 217, Fort Collins, CO 80525-4196 | 2020-09-25 |
| 1639797988 | Brittany Alley | Counselor | 120 S Bryan Ave Apt 4, Fort Collins, CO 80521-2366 | 2020-07-13 |
| 1962021501 | Cheri Fisher | Counselor | 105 Peterson St, Fort Collins, CO 80524-2917 | 2020-04-14 |
| 1467003350 | Shanna Tipton | Counselor | 924 Glenmoor Dr, Fort Collins, CO 80521-3208 | 2019-09-23 |
| 1114577087 | Rachel Ann Grohs | Counselor | 4025 Automation Way Ste 2, Fort Collins, CO 80525-3446 | 2019-09-12 |
| 1275091118 | Cameron Butler | Counselor | 144 N Mason St Unit 6, Fort Collins, CO 80524-7103 | 2019-03-11 |
| 1710455217 | Amy Lyn Davies | Counselor | 2726 Illinois Dr Apt 203, Fort Collins, CO 80525-3689 | 2018-11-02 |
| 1700378908 | Savannah Rose Cormier | Counselor | 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525 | 2018-06-04 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on MS. JACQUELINE M JOHNSON.
| 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.