ELLEN M JOHNSON (NPI# 1619399532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619399532 |
| Entity Type | Individual |
| Full Name | ELLEN M JOHNSON |
| Credential | MFT INTERN |
| Practice Address |
1490 Grimes St Fallon NV 89406-3103 |
| Mailing Address |
Po Box 1240 Fallon NV 89407-1240 |
| Practice Telephone | 7754231412 |
| Practice Fax Number | 7754234054 |
| Mailing Telephone | 7754231412 |
| Mailing Fax Number | 7754234054 |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01215-L | NV | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MI0483 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE OF NEVADA BOARD OF MARRIAGE AND FAMILY THERAPISTS | MI0483 | 01 |
| NV | STATE OF NEVADA BOE ALCOHOL, DRUG & GAMBLING | 01215-L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670940 | Ellen Rose Johnson | Counselor | 5909 West Loop S Ste 640, Bellaire, TX 77401-2430 | 2018-12-17 |
| 1043791387 | Ellen Meredith Johnson | Counselor | 10 Main St Ste 326, New Paltz, NY 12561-1764 | 2018-08-24 |
| 1710256854 | Ellen Margaret Johnson | Registered Nurse | 2010 Route 52, Hopewell Junction, NY 12533-3507 | 2011-12-19 |
| 1760670533 | Ellen Brigman Johnson | Chore Provider | 107 Graham Ln, Beaufort, NC 28516-9449 | 2007-10-05 |
| 1235258237 | Ellen Maxine Johnson | Counselor | 5083 Taylor Ave Ne, Bainbridge Island, WA 98110-3188 | 2007-03-29 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1831297571 | Ellen Beth Johnson | Speech-Language Pathologist | 120 N. 8th Ave, Show Low, AZ 85901 | 2006-09-20 |
| 1609972991 | Ellen I Johnson | Psychiatry & Neurology | 420 Holmes St, Bellefonte, PA 16823-1401 | 2006-09-15 |
| 1235164963 | Ellen A Johnson | Family Medicine | 6 Perri Avenue, Myerstown, PA 17067-3200 | 2006-07-11 |
| 1174158265 | Ellen Patricia Johnson | Marriage & Family Therapist | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-03-09 |
| Street Address |
1490 GRIMES ST |
| City | FALLON |
| State | NV |
| Zip Code | 89406-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912097932 | Sheri Suzanne Alexandar | Social Worker | 1490 Grimes St, Fallon, NV 89406-3103 | 2006-10-13 |
| 1215577788 | Alana Kirsten Rogne | Registered Nurse | 1490 Grimes St, Fallon, NV 89406-3103 | 2020-01-13 |
| 1770139875 | Elizabeth Sabo | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-08-14 |
| 1275187494 | Vicki Jones | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-25 |
| 1285287292 | Brittany Ann Frew | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-18 |
| 1952954067 | Monty Williams | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-17 |
| 1346788411 | Churchill Council On Alcohol and Other Drugs | Community/Behavioral Health | 1490 Grimes St, Fallon, NV 89406-3103 | 2017-02-08 |
| 1639566904 | Jordan Tucker | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| 1710374087 | Olivia Difrank | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| 1174910442 | Kassidy Montgomery | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
| 1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
| 1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
| 1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
| 1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
| 1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
| 1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
| 1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
| 1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
| 1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
| Find all providers in zip 89406 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619093200 | Ron Gilbert Marrujo | Marriage & Family Therapist | 165 N Carson St, Fallon, NV 89406-2919 | 2007-03-22 |
| 1679516074 | Mary Ann Potter | Marriage & Family Therapist | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382424 | Angelic Solution Wellness Center, LLC | Marriage & Family Therapist | 3600 Monarcas St Unit 102, Las Vegas, NV 89108-8718 | 2020-09-25 |
| 1396350914 | Victoria Denise Means | Marriage & Family Therapist | 4535 W Russell Rd, Las Vegas, NV 89118-2257 | 2020-09-10 |
| 1215549357 | Caitlyn Gilmour | Marriage & Family Therapist | 2915 W Charleston Blvd Ste 130, Las Vegas, NV 89102-1975 | 2020-08-19 |
| 1659993533 | Sydney Denton Erskine | Marriage & Family Therapist | 2336 Rosendale Village Ave, Henderson, NV 89052-8731 | 2020-05-13 |
| 1801415344 | Adrienne Oneal | Marriage & Family Therapist | 10655 Park Run Dr Ste 200, Las Vegas, NV 89144-4590 | 2020-04-14 |
| 1669001558 | Kaitlin Andrewjeski | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201a, Henderson, NV 89052-2698 | 2020-04-03 |
| 1093340291 | Dorothy Lee Draper | Marriage & Family Therapist | 1528 Us Highway 395 N Ste 215, Gardnerville, NV 89410-5226 | 2020-03-08 |
| 1205460193 | Aubrey Wadman-goetsch | Marriage & Family Therapist | 2518 Anthem Village Dr Ste 103, Henderson, NV 89052-5554 | 2020-02-28 |
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1457999195 | Julie Robinson | Marriage & Family Therapist | 601 S Rancho Dr Ste 10, Las Vegas, NV 89106-4899 | 2019-12-12 |
| Find all providers with the same taxonomy | ||||
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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.