MRS. RENEE SHULL JOHNSON (NPI# 1578931333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578931333 |
| Entity Type | Individual |
| Full Name | MRS. RENEE SHULL JOHNSON |
| Credential | MA, NCC, LPC |
| Practice Address |
709 Northeast Dr Ste 22 Davidson NC 28036 |
| Mailing Address |
20816 N Main St Ste 203 Cornelius NC 28031-8468 |
| Practice Telephone | 3362092884 |
| Mailing Telephone | 7047618225 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20816 N Main St Ste 203, Cornelius, NC 280318468 | 7047618225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720595226 | Renee Johnson | Counselor | 9304 Bluegate Dr, Cincinnati, OH 45231-3331 | 2018-01-05 |
| 1528571213 | Renee D Johnson | Technician | 1363 Sycamore Ave, Hercules, CA 94547-5489 | 2017-11-16 |
| 1912204223 | Renee Marie Johnson | Marriage & Family Therapist | 4324 A St, Tacoma, WA 98418-7722 | 2011-02-23 |
| 1538482575 | Renee Johnson | Physical Therapist | 33584 N Almond Rd, Grayslake, IL 60030-1942 | 2010-03-04 |
| 1508942962 | Renee Stone Johnson | Physical Therapy Assistant | 203 Oak Park Dr, Nhc Rehab, Mcminnville, TN 37110 | 2006-10-28 |
| 1427064286 | Renee M Johnson | Social Worker | 8478 E. Speedway Blvd, Suite 307, Tucson, AZ 85710-1730 | 2006-08-01 |
| 1225688658 | Renee Rochelle Johnson | Pharmacist | 1636 Miller Park Way, West Milwaukee, WI 53214-3604 | 2019-09-17 |
| 1700435732 | Renee Johnson | Physical Therapist | 1000 Lovell Ave W, Saint Paul, MN 55113-4459 | 2019-09-11 |
| 1790334597 | Renee Lynn Johnson | Counselor | 301 Cayuga Rd Ste 200, Buffalo, NY 14225-1950 | 2019-09-05 |
| 1043864879 | Renee Lee Johnson | Counselor | 927 24th St, San Diego, CA 92102-2005 | 2019-07-30 |
| Street Address |
709 NORTHEAST DR STE 22 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161469 | Katelyn Southern Krieger | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2020-10-13 |
| 1710537899 | Davidson Family Therapy | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-09-19 |
| 1467008409 | Katherine Bray | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| 1558545111 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | Davidson Commons, 431 Peninsula Drive, Davidson, NC 28036 | 2007-12-19 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481435 | Marina Lynn Randles | Counselor | 452 S Main St Ste H, Davidson, NC 28036-7058 | 2020-03-10 |
| 1710512157 | Shore Counseling Pllc | Counselor | 134 Jackson St, Davidson, NC 28036-9612 | 2020-03-05 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1992134456 | Jamie L. Cheveralls | Counselor | 706 Northeast Dr, Ste 1, Davidson, NC 28036-7419 | 2013-11-05 |
| 1710118195 | Julie Lynnette Martin | Counselor | 903 Northeast Drive, Suite 101, Davidson, NC 28036-7437 | 2009-08-03 |
| 1578161469 | Katelyn Southern Krieger | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2020-10-13 |
| 1982247862 | Sarah Causey | Counselor | 903 Northeast Dr Ste 201, Davidson, NC 28036-7438 | 2019-10-23 |
| 1710537899 | Davidson Family Therapy | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-09-19 |
| 1467008409 | Katherine Bray | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-08-15 |
| 1841736899 | Kimberly Welliver | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2017-01-16 |
| Find all providers in DAVIDSON | ||||
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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.