JESSE JOHNSON (NPI# 1538623087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538623087 |
| Entity Type | Individual |
| Full Name | JESSE JOHNSON |
| Practice Address |
301 Nw F St Grants Pass OR 97526-2051 |
| Practice Telephone | 5414745186 |
| Practice Fax Number | 5414745818 |
| Mailing Telephone | 5414745186 |
| Mailing Fax Number | 5414745818 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| 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 |
| 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 |
| 1528360252 | Jesse J Johnson | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-01 |
| 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 |
301 NW F ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134364961 | Josephine County Finance Department | Community/Behavioral Health | 301 Nw F St, Grants Pass, OR 97526-2051 | 2008-12-08 |
| 1376007997 | Samantha Shires | Counselor | 301 Nw F St, Grants Pass, OR 97526-2051 | 2019-01-28 |
| 1366944654 | Jennifer Horst | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| 1154823441 | Michael Cannon | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| 1770085060 | James Goodwin | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1073963872 | Jason Robert Campbell | Counselor | 1750 Nebraska Ave # B, Grants Pass, OR 97527-5700 | 2016-06-13 |
| 1225332406 | Daniel Ellis Bedford | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2011-01-03 |
| 1619203882 | Tanya Dydzyk | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2009-10-23 |
| 1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
| 1548883051 | Jessica August | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2020-05-19 |
| 1407477110 | Ian Cole Hernandez | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-05-04 |
| 1619517992 | Erin Launiu | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2020-01-14 |
| 1669010229 | Maricela Olivares | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-13 |
| 1245891282 | Jordan Cooley | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-06-20 |
| 1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on JESSE 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.