MRS. JAEL T JOHNSON (NPI# 1639606072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639606072 |
| Entity Type | Individual |
| Full Name | MRS. JAEL T JOHNSON |
| Practice Address |
425 E Main St Othello WA 99344-1146 |
| Mailing Address |
841 Frenchman Hills Rd Othello WA 99344-8610 |
| Practice Telephone | 5094885611 |
| Mailing Telephone | 2085533842 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1336434497 | Jael Janet Johnson | Occupational Therapist | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2011-06-16 |
| Street Address |
425 E MAIN ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208203 | Teresa Ann Mancinelli-ryan | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2017-11-07 |
| 1215473152 | Monique Ruiz | Case Manager/Care Coordinator | 425 E Main St, Suite 600, Othello, WA 99344-1146 | 2017-01-17 |
| 1740678812 | Xuezeng Xiong | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2014-12-24 |
| 1487057691 | Connie Carrigan | Counselor | 425 E Main St, Suite 600, Othello, WA 99344-1146 | 2014-10-01 |
| 1023443710 | Aaron Ross Jones | Counselor | 425 E Main St, Suite 600, Othello, WA 99344-1146 | 2013-09-12 |
| 1063850352 | Ann Christine Theriault | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2013-06-07 |
| 1144503343 | Amanda Kern | Counselor | 425 E Main St, Suite 600, Othello, WA 99344-1146 | 2011-09-23 |
| 1770763708 | Patricia Ann Hull | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568908408 | Priscilla Cantu | Counselor | 740 S Mckinney Rd, Othello, WA 99344-9564 | 2017-01-17 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| 1902410285 | Daisy Valdez | Counselor | 425 E Main St # 600, Othello, WA 99344-1146 | 2020-09-03 |
| 1689181810 | Deyanira Gonzalez | Counselor | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-01-09 |
| 1891208203 | Teresa Ann Mancinelli-ryan | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2017-11-07 |
| 1073035630 | Elsie Aileen Garza | Counselor | 1515 E Columbia St, Othello, WA 99344-1846 | 2017-07-14 |
| 1770028375 | Crystal Diane Watson | Counselor | 425 E Main St Ste 600, Othello, WA 99344-1146 | 2017-01-05 |
| 1588110126 | Caitlin Ballard | Counselor | 425 E Main Street, Othello, WA 99344-1146 | 2016-09-01 |
| 1740678812 | Xuezeng Xiong | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2014-12-24 |
| Find all providers in OTHELLO | ||||
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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.