MADISON SAMANTHA JOHNSON (NPI# 1609494830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609494830 |
| Entity Type | Individual |
| Full Name | MADISON SAMANTHA JOHNSON |
| Practice Address |
The Evergreen State College 2700 Evergreen Parkway Nw Olympia WA 98505-0001 |
| Mailing Address |
525 Tullis St Ne Olympia WA 98506-4239 |
| Practice Telephone | 3604814565 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1679993083 | Madison Johnson | Psychiatry & Neurology | 1601 23rd Avenue South, Vanderbilt Department of Psychiatry, 3105 Vph, Nashville, TN 37212-8645 | 2014-04-24 |
| 1285289454 | Madison Whitehurst Johnson | Speech-Language Pathologist | 7315 Smith Station Rd, Fredericksburg, VA 22407-1739 | 2019-08-05 |
| 1225698152 | Madison Johnson | Behavior Technician | 1613 Prospect Pkwy, Suite 110, Fort Collins, CO 80525-9769 | 2019-06-13 |
| 1770055444 | Madison Alexandra Johnson | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2018-12-19 |
| 1861977290 | Madison Kinaole Johnson | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2018-10-02 |
| 1245732296 | Madison Johnson | Health Educator | 909 4th Ave, Seattle, WA 98104-1108 | 2018-03-06 |
| 1356867204 | Madison Chelsea Johnson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2017-08-22 |
| 1477911626 | Madison Johnson | Behavioral Analyst | 243 E 400 S, Salt Lake City, UT 84111 | 2016-02-03 |
| 1720336621 | Madison Johnson | Speech-Language Pathologist | 2295 Henry Clower Blvd, Suite 100, Snellville, GA 30078-5707 | 2012-08-27 |
| Street Address |
THE EVERGREEN STATE COLLEGE 2700 EVERGREEN PARKWAY NW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98505-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1447568563 | Polly Kay Taylor | Nurse Practitioner | 2700 Evergreen Parkway Nw, Sem 1, Room 2110, The Evergreen Sate College Student Health Center, Olympia, WA 98505 | 2010-09-23 |
| 1811370307 | Jared Vedros | Emergency Medicine | 786 D St, Anchorage, AK 98505 | 2015-07-02 |
| 1740246602 | Janine R Morrell | Nurse Practitioner | 315 Mlk Jr Way, Ms Z0 Ntl, Tacoma, WA 98505 | 2006-04-20 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1619285368 | Elizabeth R Mchugh | Physician Assistant | The Evergreen State College, Seminar 1 Rm 2110, Olympia, WA 98505-0001 | 2010-09-15 |
| 1770600629 | Rebecca Rae Johnson | Specialist/Technologist | 2700 Evergreen Pkwy Nw, Olympia, WA 98505-0001 | 2007-03-24 |
| 1770511438 | Mark S Peckler | Urology | 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 | 2006-06-29 |
| 1104134923 | Susan Estelle Camp | Registered Nurse | 2700 Evergreen Pkwy Nw, Seminar 1-2110, Olympia, WA 98505-0001 | 2010-09-14 |
| 1144499682 | Kathleen Ann O'connor | Preventive Medicine | 2700 Evergreen Pkwy Nw, Sem I, 2110, Olympia, WA 98505-0005 | 2008-02-28 |
| Find all providers in zip 98505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1669092151 | Emily Stephens | Counselor | 415 38th Ave Ne, Olympia, WA 98506-2417 | 2020-04-24 |
| 1003440405 | Mary Achol Bol | Counselor | 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506-5050 | 2020-02-25 |
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1962047266 | Jeffrey Owen Nogler | Counselor | 1975 Olympia Ave Ne, Olympia, WA 98506-4643 | 2019-11-10 |
| 1720620636 | Heckler Integrative Psychiatric Care | Counselor | 2727 Westmoor Ct Sw Ste 100, Olympia, WA 98502-5754 | 2019-10-11 |
| 1073154936 | Michelle Rubbert | Counselor | 7722 Greenridge Loop Sw, Olympia, WA 98512-2347 | 2019-10-02 |
| 1295295749 | David Gervais | Counselor | 108 State Ave Nw Ste 25, Olympia, WA 98501-8249 | 2019-03-21 |
| 1821561812 | Angela Suzann Edwards | Counselor | 3775b Martin Way E, Olympia, WA 98506-5062 | 2019-01-02 |
| Find all providers in OLYMPIA | ||||
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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.