MICHAEL BLAINE JOHNSON (NPI# 1578041919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578041919 |
| Entity Type | Individual |
| Full Name | MICHAEL BLAINE JOHNSON |
| Credential | LPC |
| Practice Address |
416 College St Beloit WI 53511-6310 |
| Mailing Address |
1822 Cleveland St Beloit WI 53511-2848 |
| Practice Telephone | 6083651244 |
| Practice Fax Number | 6083654097 |
| Mailing Telephone | 6084369182 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3648-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42117900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
416 COLLEGE ST |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211512 | Joan M Curtis | Counselor | 416 College St, Beloit, WI 53511-6310 | 2018-10-15 |
| 1609235720 | Kelsey Hood | Counselor | 416 College St, Beloit, WI 53511-6310 | 2016-02-17 |
| 1619346590 | Jenifer Jelinek | Counselor | 416 College St, Beloit, WI 53511-6310 | 2015-09-21 |
| 1881085959 | Amanda Isunza | Counselor | 416 College St, Beloit, WI 53511 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303871 | Marilyn Lensert Harris | Counselor | 1827 Chippewa Trl, Beloit, WI 53511-3817 | 2019-05-30 |
| 1639610520 | Dana M Ellis | Counselor | 136 W Grand Ave, Beloit, WI 53511-6259 | 2017-03-13 |
| 1043481385 | Rhonda S Doherty | Counselor | 64 Eclipse Cetner, Beloit, WI 53511 | 2008-03-14 |
| 1073794467 | Heidi L Lammon | Counselor | 3005 S Riverside Dr, Suite 102, Beloit, WI 53511-1500 | 2007-11-14 |
| 1811177991 | Stephanie Knueppel | Counselor | 400 E Grand Ave Ste 308, Beloit, WI 53511-6200 | 2007-11-06 |
| 1972099505 | Melissa L Beckford | Counselor | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2018-07-06 |
| 1740704287 | Melony Dawn Walsh | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-26 |
| 1821510595 | Jenniffer Beu | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-13 |
| 1245761535 | Ashley L Robinson | Counselor | 136 W Grand Ave, Suite 250, Beloit, WI 53511-6259 | 2017-03-27 |
| 1124563143 | Tyree Gamble | Counselor | 400 E Grand Ave, Beloit, WI 53511-6200 | 2016-12-29 |
| Find all providers in BELOIT | ||||
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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.