JESSE J JOHNSON (NPI# 1528360252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528360252 |
| Entity Type | Individual |
| Full Name | JESSE J JOHNSON |
| Credential | BMS |
| Practice Address |
130 N 2nd St Raton NM 87740-3804 |
| Mailing Address |
Po Box 28220 Santa Fe NM 87592-8220 |
| Practice Telephone | 5754453557 |
| Mailing Telephone | 5054715006 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549284 | Jesse Taylor Johnson | Counselor | 1900 Silver Lake Rd, New Brighton, MN 55112-1786 | 2018-08-22 |
| 1851618433 | Jesse Johnson | Counselor | 700 Pinhook Dr, Savannah, TN 38372-2783 | 2010-04-22 |
| 1942830492 | Jesse Howard Johnson IIi | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
| 1235794322 | Jesse Alexander Johnson Jr. | Internal Medicine | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2019-05-05 |
| 1538623087 | Jesse Johnson | Counselor | 301 Nw F St, Grants Pass, OR 97526-2051 | 2019-01-29 |
| 1932624178 | Jesse Johnson | Dentist | 9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6032 | 2017-08-09 |
| 1043657687 | Jesse Johnson | Counselor | 443 Ne Knott St, Portland, OR 97212-3108 | 2013-05-22 |
| 1003042664 | Jesse Thomas Johnson II | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2009-06-09 |
| 1306003355 | Jesse Kendall Johnson | Dentist | 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 | 2008-05-19 |
| 1811042930 | Jesse Paul Johnson | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Medsport, Ann Arbor, MI 48105-9755 | 2007-01-25 |
| Street Address |
130 N 2ND ST |
| City | RATON |
| State | NM |
| Zip Code | 87740-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477857340 | Jennifer Nicole Wilson | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2011-01-06 |
| 1295039881 | Carl Joseph Ortiz | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-22 |
| 1841594439 | Ashley Nicole Archuleta | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-22 |
| 1003110693 | Arleen Martinez | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-22 |
| 1891098109 | Ambrosita Maree Valdez | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-08 |
| 1902108632 | Cody Vanderpool | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-01 |
| 1578864112 | Janelle Martinez | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-11-13 |
| 1508167743 | Chantle Gutierrez | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-11-04 |
| 1538469879 | Tomi Jo Trujillo | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-11-02 |
| 1821308750 | Connie Casias | Counselor | 130 N 2nd St, Raton, NM 87740 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| 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 |
|---|---|---|---|---|
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| 1275765356 | Evelyn Marie Salazar | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2009-08-21 |
| 1457727331 | James Apodaca | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-08-14 |
| 1588048060 | Jessie Gomez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-07-15 |
| 1255715660 | Kenneth Long | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-07-15 |
| 1427444504 | Cassandra Sanchez | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-04-15 |
| 1215320387 | Casey Grubelnik | Counselor | 1273 S 2nd St, Raton, NM 87740-2234 | 2015-03-12 |
| 1962804153 | Chicky Gomez | Counselor | 1273 S 2nd St, Raton, NM 87740 | 2014-09-19 |
| 1245632330 | Jeramy Armijo | Counselor | 1273 S 2nd St, Raton, NM 87740 | 2014-09-19 |
| Find all providers in RATON | ||||
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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.