MRS. AMY LYNN-SMITH JOHNSON (NPI# 1720174022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720174022 |
| Entity Type | Individual |
| Full Name | MRS. AMY LYNN-SMITH JOHNSON |
| Credential | MSW, LCSW |
| Practice Address |
581 Executive Pl Suite 500 Fayetteville NC 28305-5702 |
| Mailing Address |
4948 Grays Creek Church Rd Hope Mills NC 28348-7810 |
| Practice Telephone | 9104933555 |
| Practice Fax Number | 9104933520 |
| Mailing Telephone | 9108502095 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C005604 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6106625 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043808 | Amy Jeannine Johnson | Student in an Organized Health Care Education/Training Program | 136 Heritage Dr, Yankton, SD 57078-6714 | 2020-05-05 |
| 1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
| 1861966277 | Amy Elizabeth Johnson | Nurse Practitioner | 21309 Foster Rd Ste 100, Spring, TX 77388-4209 | 2019-01-18 |
| 1407338700 | Amy Johnson | Social Worker | 115 A St, Framingham, MA 01701-4175 | 2018-09-04 |
| 1386151918 | Amy E Johnson | Social Worker | 412 Roanoke St, Avenel, NJ 07001-1317 | 2018-01-04 |
| 1952829277 | Amy Johnson | Social Worker | 9711 Lawndale Dr, Silver Spring, MD 20901-3025 | 2017-09-07 |
| 1427505064 | Amy Helen Johnson | Counselor | 1200 N Main St # 101, Santa Ana, CA 92701-3640 | 2016-09-01 |
| 1114371069 | Amy Johnson | Home Health Aide | 731 Camden Ave Sw, Canton, OH 44706-1241 | 2016-04-18 |
| 1265842710 | Amy Johnson | Speech-Language Pathologist | 2407 Ridge Rd, Pendleton, KY 40055-9623 | 2014-05-06 |
| 1114347242 | Amy Johnson | Developmental Therapist | 1987 Pieck Dr, Unit B, Covington, KY 41011-2692 | 2014-04-16 |
| Street Address |
581 EXECUTIVE PL SUITE 500 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558456483 | Judith Johnson Fleishman | Social Worker | 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | 2006-10-04 |
| 1215484696 | Kayla Jackson | Technician, Other | 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | 2016-09-02 |
| 1740655125 | Marisa Wilder | Behavioral Analyst | 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | 2015-12-10 |
| 1154796803 | Colleen Goepfert | Behavioral Analyst | 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | 2015-12-07 |
| 1790970523 | Alpha and Omega Community Services Inc. | Community/Behavioral Health | 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on MRS. AMY LYNN-SMITH 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.