MARCUS ANDREW JOHNSON (NPI# 1659393809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393809 |
| Entity Type | Individual |
| Full Name | MARCUS ANDREW JOHNSON |
| Credential | BS |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Mailing Address |
1508 Hemingway St Myrtle Beach SC 29577-3329 |
| Practice Telephone | 8433475060 |
| Mailing Telephone | 8434484225 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626538 | Marcus Donnell Johnson | Counselor | 145 E 126th St Apt 4d, New York, NY 10035-1727 | 2020-07-21 |
| 1083028021 | Marcus Johnson | Rehabilitation Practitioner | 4097 W 142nd St Apt 108, Hawthorne, CA 90250-7969 | 2014-06-18 |
| 1790067874 | Marcus D Johnson | Dentist | 1103 Stewart Ave Fl 1, Garden City, NY 11530-4859 | 2011-09-14 |
| 1851510200 | Marcus Lorenzo Johnson | Chiropractor | 13021 Coit Rd Ste 200, Dallas, TX 75240-5700 | 2007-04-24 |
| 1013090661 | Marcus Wayne Johnson | Chiropractor | 1780 Green Bay Rd., Highland Park, IL 60035 | 2006-10-24 |
| 1073543229 | Marcus A. Johnson | Family Medicine | 2201 Sun River Rd, Great Falls, MT 59404 | 2006-07-04 |
| 1215467832 | Marcus Johnson | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-06-15 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1003228362 | Marcus Johnson Sr. | Counselor | 6360 S Pecos Rd Ste 4, Las Vegas, NV 89120-3295 | 2014-05-21 |
| 1649568692 | Marcus Johnson | Emergency Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2011-07-12 |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1609244151 | Matthew Spicer | Counselor | 1051 Hogan Ln, Conway, AR 72034-9126 | 2015-09-14 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1013294560 | Susan Ann Mclean | Counselor | 172 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2011-11-11 |
| 1730474560 | Pamela Hendrixson | Counselor | 2159 Prince St, Suite B, Conway, AR 72034-3737 | 2011-06-09 |
| 1174832174 | Latoya Bernice Gathers | Counselor | 1632 9th Ave, Conway, SC 29527-4848 | 2010-09-25 |
| 1700023876 | Scarlett Evert | Counselor | 575 Harkrider St, Conway, AR 72032-5631 | 2009-01-12 |
| 1275722555 | Shavonne Renee Richardson | Counselor | 900c Main St, Suite B, Conway, SC 29526-4025 | 2007-10-23 |
| 1972795458 | Jessica E Goodwin | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-08-17 |
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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.