MRS. DARYL MAE JOHNSON (NPI# 1710152426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710152426 |
| Entity Type | Individual |
| Full Name | MRS. DARYL MAE JOHNSON |
| Other Name | MRS. DARYL MAE JOHNSON |
| Credential | CERTIFICATION |
| Practice Address |
4757 N 76th St Milwaukee WI 53218-4732 |
| Mailing Address |
5716 W Hampton Ave Apt 112 Milwaukee WI 53218-5054 |
| Practice Telephone | 4145384145 |
| Practice Fax Number | 4143585003 |
| Mailing Telephone | 4143584145 |
| Mailing Fax Number | 4143585003 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15414-131 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985272 | Daryl Lance Johnson | Dentist | 1313 W Highway 8, Cleveland, MS 38732-2240 | 2006-08-03 |
| 1194324541 | Daryl Kevin Johnson II | Pharmacist | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2020-10-17 |
| 1902095664 | Daryl Aundra Johnson | Neurological Surgery | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-10-18 |
| 1922139336 | Daryl Johnson | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2007-03-08 |
| 1366591273 | Daryl L. Johnson | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2007-01-09 |
| Street Address |
4757 N 76TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146214 | M. Karen Kegelmeyer | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2006-06-02 |
| 1134691264 | Georgette Eugenia Wells | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2018-12-31 |
| 1366817926 | Carly Rae Marohl | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2015-12-08 |
| 1710351796 | Carolyn Sims | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2015-11-13 |
| 1720470065 | Samuel Krebsbach | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2015-02-24 |
| 1093941262 | St. Charles Youth & Family Services | Case Management | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2009-06-02 |
| 1629245725 | Katherine Anna Dibb | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-05-08 |
| 1316113772 | St. Charles Youth & Family Services, Inc. | Case Management | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-05-06 |
| 1518133958 | Latoya M Sims | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-05-06 |
| 1376718320 | St. Charles | Community/Behavioral Health | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| Find all providers in MILWAUKEE | ||||
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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.