MR. CLIFFORD JERON JOHNSON (NPI# 1730319831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730319831 |
| Entity Type | Individual |
| Full Name | MR. CLIFFORD JERON JOHNSON |
| Credential | MS |
| Practice Address |
1037 Pathfinder Way Suite130 Rockledge FL 32955-3242 |
| Mailing Address |
1996 Thesy Dr Viera FL 32940-6837 |
| Practice Telephone | 3216391224 |
| Practice Fax Number | 3216360800 |
| Mailing Telephone | 3212545927 |
| Mailing Fax Number | 3212545927 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629302898 | Clifford James Johnson | Hearing Instrument Specialist | 15816 N. Penn., Ste 2, Edmond, OK 73013 | 2009-09-22 |
| 1003967456 | Clifford John Johnson | Family Medicine | 7320 179th St Sw, Edmonds, WA 98026-5534 | 2007-01-14 |
| 1578585725 | Clifford Johnson Jr. | Orthopaedic Surgery | 1802 S. Mattis Ave., Champaign, IL 61821-5923 | 2006-07-24 |
| 1629407564 | Clifford Johnson Jr. | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-11-01 |
| 1306145396 | Clifford William Johnson Jr. | Hearing Instrument Specialist | 4015 Governor Dr, Miracle-ear Center, San Diego, CA 92122-2522 | 2011-03-16 |
| 1952630519 | Clifford Johnson | Social Worker | 317 N Main St, Manchester, CT 06042-2007 | 2009-12-10 |
| 1336366723 | Clifford L Johnson | Dentist | 4060 Johns Creek Pkwy, Suite A, Suwanee, GA 30024-1254 | 2007-04-19 |
| 1154499234 | Clifford Dean Johnson | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1174579940 | Clifford Paul Johnson | Urology | 50 Hospital Dr, Suite 2a, Hendersonville, NC 28792-5244 | 2006-05-25 |
| 1538137542 | Clifford G Johnson | Internal Medicine | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2006-03-08 |
| Street Address |
1037 PATHFINDER WAY SUITE130 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316056674 | Alice Keene | Counselor | 1037 Pathfinder Way, Intervention Services Suite 130, Rockledge, FL 32955 | 2006-08-30 |
| 1245775105 | Lisa Hulsizer | Case Manager/Care Coordinator | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2017-01-03 |
| 1043755515 | Jacob Markisen | Social Worker | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2016-12-19 |
| 1104369693 | Heather Sue Celvi | Case Management | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2016-12-01 |
| 1336697630 | Janette Stephan | Counselor | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2016-09-14 |
| 1104276112 | Nestor Suan | Case Manager/Care Coordinator | 1037 Pathfinder Way, Suite 130, Rockledge, FL 32955-3242 | 2016-06-21 |
| 1447615901 | Brittany George | Social Worker | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2015-12-28 |
| 1427421767 | Lucy Terranova | Counselor | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2015-11-09 |
| 1922492958 | Rebekah Mcconn | Counselor | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2015-03-27 |
| 1497149827 | Lunford Hollyfield | Counselor | 1037 Pathfinder Way, Rockledge, FL 32955-3242 | 2015-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847096 | Erica Graber | Counselor | 4235 Us Highway 1, Rockledge, FL 32955-5312 | 2020-06-26 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1679034946 | Mary Elizabeth Ann Laburda | Counselor | 1041 Seminole Dr, Rockledge, FL 32955-1985 | 2019-03-28 |
| 1497257133 | Tysha Kenyetta Pittman | Counselor | 1021 Cascade Cir Apt 208, Rockledge, FL 32955-8074 | 2018-03-07 |
| 1659808210 | Patricia Edmond | Counselor | 351 Castlewood Ln, Rockledge, FL 32955-4754 | 2017-05-15 |
| 1336681634 | Debra Stagman | Counselor | 1210 Apple Creek Ln, Rockledge, FL 32955-8211 | 2016-11-17 |
| 1124482625 | Laurie Ann Blake | Counselor | 1037 Pathfinder Way Ste 103, Rockledge, FL 32955-3242 | 2016-04-11 |
| 1477913358 | Marlene Guerrero | Counselor | 4491 Aberdeen Cir, Rockledge, FL 32955 | 2016-03-04 |
| 1982077228 | Nella Ciciulla | Counselor | 1290 Us Highway 1, Rockledge, FL 32955-2712 | 2015-11-09 |
| 1255739892 | Griszel Long | Counselor | 300 Jarrett Ave, Rockledge, PA 19046-4227 | 2014-12-14 |
| Find all providers in ROCKLEDGE | ||||
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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.