MRS. ANDREA N. JOHNSON (NPI# 1568493336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568493336 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA N. JOHNSON |
| Other Name | ANDREA NELCH JOHNSON |
| Credential | LCPC |
| Practice Address |
3270 Moore Rd Springfield IL 62707-2515 |
| Practice Telephone | 2178993217 |
| Practice Fax Number | 2177930509 |
| Mailing Telephone | 2177930509 |
| Mailing Fax Number | 2177930509 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers | |
| X | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827991 | Andrea Marita Johnson | Counselor | 639 N Shea Rd, Scottsburg, IN 47170-8132 | 2020-09-24 |
| 1912461955 | Andrea Johnson | Registered Nurse | 764 Bayard Ave, Saint Paul, MN 55102-4102 | 2019-01-23 |
| 1104398015 | Andrea M Johnson | Massage Therapist | 27 Sandy Creek Rd, Bridgton, ME 04009-4134 | 2018-12-18 |
| 1881165868 | Andrea N Johnson | Behavior Technician | 1001 Buccaneer Dr Apt 1, Schaumburg, IL 60173-5213 | 2018-12-17 |
| 1962902957 | Andrea G Johnson | Occupational Therapy Assistant | 7919 N 9th St, Tacoma, WA 98406-1095 | 2018-02-15 |
| 1851891139 | Andrea Maya Johnson | Midwife | 13236 111th Ct Ne, Kirkland, WA 98034-5306 | 2018-02-13 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1114478831 | Andrea Johnson | Specialist/Technologist | 500 South Navajo Dr, Page, AZ 86040 | 2016-10-18 |
| 1861866147 | Andrea Johnson | Licensed Practical Nurse | 21203 N Hart Pl, Detroit, MI 48220-2108 | 2015-11-24 |
| 1932581915 | Andrea Johnson | Behavioral Analyst | 3781 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2015-06-25 |
| Street Address |
3270 MOORE RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62707-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405051 | Bret Lee Miller | Pharmacist | 3250 Clear Lake Ave, Springfield, IL 62707 | 2010-04-12 |
| 1740402890 | Bennie Joe Manley | Counselor | 3200 Shaler Road, Springfield, IL 62707 | 2007-05-02 |
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| 1205050192 | Amaretta Marie Gilmer | Speech-Language Pathologist | 4046 Mcconnell Ct, Springfield, IL 62707-3018 | 2007-04-12 |
| 1376766204 | Marcia H. Bunchman | Speech-Language Pathologist | 34 Cabin Smoke Trl, Springfield, IL 62707-4509 | 2007-04-10 |
| 1205027026 | Christie M Davis | Physical Therapist | 51 Frontier Lake Dr, Springfield, IL 62707-7726 | 2007-08-06 |
| 1912975160 | Harold Jay Bruninga | Ophthalmology | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2006-03-12 |
| 1982044889 | Stouffer Clinical Counseling & Consulting LLC | Community/Behavioral Health | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| 1407296395 | Kevin R Stouffer | Counselor | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| 1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
| Find all providers in zip 62707 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62707 |
Please comment or provide details below to improve the information on MRS. ANDREA N. 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.