RENAE JOHNSON (NPI# 1710346689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710346689 |
| Entity Type | Individual |
| Full Name | RENAE JOHNSON |
| Practice Address |
6392 Linden Rd Rockford IL 61109-2816 |
| Practice Telephone | 7793680060 |
| Practice Fax Number | 7793680579 |
| Mailing Telephone | 7793680060 |
| Mailing Fax Number | 7793680579 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
166001046 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588022743 | Renae Elizabeth Johnson | Nurse Anesthetist, Certified Registered | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2016-02-03 |
| 1679940936 | Renae Johnson | Counselor | 1405 Guerrero St, San Francisco, CA 94110-4324 | 2015-08-21 |
| 1720225840 | Renae Lynn Johnson | Registered Nurse | 80 Sh 310, Suite 2, Canton, NY 13617-1436 | 2009-01-12 |
| 1063626968 | Renae D Johnson | Counselor | 17599 South Highway 88, Claremore, OK 74017 | 2007-05-09 |
| Street Address |
6392 LINDEN RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770630766 | Kp Counseling Ltd | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2007-01-04 |
| 1790393882 | Jonothan W Hoskins | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2020-07-15 |
| 1154803070 | Sonya Nygren | Counselor | 6392 Linden Rd, Rockford, IL 61109-2816 | 2018-09-06 |
| 1366930406 | Amy Bruyn | Counselor | 6392 Linden Rd, Rockford, IL 61109-2816 | 2018-04-24 |
| 1386183267 | Samuel L Denton | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2017-02-13 |
| 1548631328 | Delinda Grindle | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2015-10-19 |
| 1487927885 | Jennifer Fricke | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2012-02-15 |
| 1194029132 | The Fit Med Experience | Massage Therapist | 6392 Linden Rd, Rockford, IL 61109-2816 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316571482 | Charles Theodore Strominger IIi | Counselor | 1003 N Prospect St, Rockford, IL 61107-3134 | 2020-02-27 |
| 1194366724 | Chelsie Ketton | Counselor | 2218 Custer Ave, Rockford, IL 61103-4374 | 2019-10-04 |
| 1467014282 | Ronald Charles Fleming Sr. | Counselor | 6408 Encantado Ct E, Rockford, MI 49341-9677 | 2019-07-01 |
| 1932685542 | Transformations Counseling Training and Consulting LLC | Counselor | 6066 Strathmoor Dr # C2, Rockford, IL 61107-6633 | 2018-07-17 |
| 1376045583 | Brittany Anne Bunton | Counselor | 5702 Elaine Dr. Suite 106, Rockford, IL 61108-2458 | 2018-03-03 |
| 1215435425 | Victor Hugo Mendoza | Counselor | 4623 Crescent Drive, Rockford, IL 61108-6110 | 2018-01-23 |
| 1639686538 | Lindsay M Lang Gluscic | Counselor | 915 Peter Ave, Rockford, IL 61108-3733 | 2018-01-02 |
| 1770975484 | Todd D Burd | Counselor | 6072 Brynwood Dr Ste 107a, Rockford, IL 61114-5829 | 2015-03-04 |
| 1083800601 | Lucille Anne Jenkins | Counselor | 2020 Glenview Rd, Rockford, IL 61107-1335 | 2007-09-18 |
| 1588790620 | Stephanie Anne Carey | Counselor | 5301 E State St Ste 302, Rockford, IL 61108-2399 | 2007-02-25 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on RENAE JOHNSON.
| 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.