JEANNE ADELAIDE JOHNSON (NPI# 1740606227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740606227 |
| Entity Type | Individual |
| Full Name | JEANNE ADELAIDE JOHNSON |
| Credential | LADC, BA, ICADC, LAC |
| Practice Address |
8609 Lyndale Ave S Suite 110 Bloomington MN 55420-2754 |
| Practice Telephone | 9523581009 |
| Practice Fax Number | 9528811093 |
| Mailing Telephone | 9523581009 |
| Mailing Fax Number | 9528811093 |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9605694 | SD | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300969 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258147 | Jeanne May Johnson | Physical Therapist | 2735 Dristol Dr, Colorado Springs, CO 80920-5114 | 2018-06-08 |
| 1497207260 | Jeanne Monique Johnson | Counselor | 2008 Glenhaven Pl, Silver Spring, MD 20902-3614 | 2016-10-27 |
| 1649446865 | Jeanne Marie Johnson | Dietitian, Registered | 600 N Elm St, High Point, NC 27262-4332 | 2008-05-07 |
| 1114196458 | Jeanne M Johnson | Counselor | 1215 Stewart Plz, Dunbar, WV 25064-3021 | 2008-02-20 |
| 1598972630 | Jeanne M Johnson | Speech-Language Pathologist | Daggy 133, Pullman, WA 99164-2420 | 2007-05-17 |
| 1992712608 | Jeanne E Johnson | Social Worker | 127 S. 37th St., Suite A, Lincoln, NE 68510-1502 | 2006-08-02 |
| 1508329889 | Jeanne Johnson | Behavior Technician | 1250 S Capital of Texas Hwy, Building 3 Suite 400, West Lake Hills, TX 78746-6446 | 2019-04-12 |
| 1669718227 | Jeanne Brabant Johnson | Registered Nurse | 20420 68th Ave W, Lynnwood, WA 98036-7405 | 2012-12-28 |
| 1679809776 | Jeanne Pauly Johnson | Psychiatry & Neurology | 2386 Nw Hoyt St, Portland, OR 97210-3219 | 2009-10-23 |
| 1134201569 | Jeanne Marie Johnson | Occupational Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-10-19 |
| Street Address |
8609 LYNDALE AVE S SUITE 110 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366529554 | Linda J. Dobberstein | Chiropractor | 8609 Lyndale Ave S, Suite 213b, Bloomington, MN 55420-2754 | 2006-11-01 |
| 1346633955 | Time To Change LLC | Community/Behavioral Health | 8609 Lyndale Ave S, #110, Bloomington, MN 55420-2754 | 2015-03-07 |
| 1265772552 | Ronald Wayne Larsen | Counselor | 8609 Lyndale Ave S, 101k, Bloomington, MN 55420-2754 | 2013-02-22 |
| 1316147135 | Parkside Health Care, LLC | Health Maintenance Organization | 8609 Lyndale Ave S, Suite 105b, Bloomington, MN 55420-2754 | 2007-07-19 |
| 1093847808 | Lester John Retzer | Chiropractor | 8609 Lyndale Ave S, Suite 116, Bloomington, MN 55420-2754 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917728 | Courtney Caryl Breyer | Counselor | 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 | 2020-06-17 |
| 1841832938 | Elizabeth Simon Simon | Counselor | 9193 S Greenridge Ln, Bloomington, IN 47401-9015 | 2019-10-10 |
| 1396220703 | Elizabeth Michelle Utterback | Counselor | 4633 W Richland Plaza Dr, Bloomington, IN 47404-9776 | 2018-10-02 |
| 1003316720 | William Douglas Portis | Counselor | 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704-6075 | 2018-02-19 |
| 1346601804 | Colette Maureen Bisanz-haas | Counselor | 9301 Bryant Ave S Ste 107, Bloomington, MN 55420-3438 | 2016-03-11 |
| 1952791733 | Ryan Conway | Counselor | 900 E 7th St, M005, Bloomington, IN 47405-3905 | 2015-01-30 |
| 1629487749 | Deborah C Wilkin | Counselor | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-04 |
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1053691717 | Finding Your Path To Freedom | Counselor | 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701-5881 | 2011-08-25 |
| 1528376985 | Countermeasures, Inc. | Counselor | 110 N. Center, Bloomington, IL 61701-5002 | 2010-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on JEANNE ADELAIDE 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.