CARLA SUE HURST-JOHNSON (NPI# 1669988283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669988283 |
| Entity Type | Individual |
| Full Name | CARLA SUE HURST-JOHNSON |
| Practice Address |
13340 E Warren Ave Detroit MI 48215-2112 |
| Mailing Address |
13725 Lasalle Blvd Apt 211 Detroit MI 48238 |
| Practice Telephone | 3138226940 |
| Practice Fax Number | 3138226946 |
| Mailing Telephone | 3134121648 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
13340 E WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255410023 | Positive Images | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2006-11-03 |
| 1699259051 | Karen Elaine Osorio | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2018-09-21 |
| 1548790199 | Anjanette Melissa Williams-kennedy | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2017-06-15 |
| 1497113609 | Tiyanna Macnear | Case Manager/Care Coordinator | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2016-02-02 |
| 1376927731 | Gwendolyn Crawford | Substance Abuse Rehabilitation Facility | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2015-07-16 |
| 1891178125 | Cherill Lynn Adams | Substance Abuse Rehabilitation Facility | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2015-07-06 |
| 1396981247 | Adam James | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| 1740426691 | Beth Sacks | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| 1578709424 | Asha Ravindran | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
| 1831342443 | Doris Jean Moss | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
| 1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
| 1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
| 1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
| 1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
| 1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
| 1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
| 1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| Find all providers in DETROIT | ||||
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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.