TIMOTHY LEE JOHNSON JR.


Address: 499 Manor Dr, Ebensburg, PA 15931-4917
Phone: 8144711801

TIMOTHY LEE JOHNSON JR. (NPI# 1760975486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760975486
Entity Type Individual
Full Name TIMOTHY LEE JOHNSON JR.
Credential BS
Practice Address 499 Manor Dr
Ebensburg
PA 15931-4917
Practice Telephone 8144711801
Practice Fax Number 8144724699
Mailing Telephone 8144711801
Mailing Fax Number 8144724699
Enumeration Date 2018-06-07
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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1649555392 Timothy Bogart Johnson Counselor 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 2011-10-13
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1437463742 Timothy Lee Johnson Counselor 3100 Rhett Ct, Charlotte, NC 28273-3660 2010-07-28

Office Location

Street Address 499 MANOR DR
City EBENSBURG
State PA
Zip Code 15931-4917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710281381 Samantha R Snowberger Counselor 499 Manor Dr, Ebensburg, PA 15931 2010-12-22
1144713942 Julie Boring Counselor 499 Manor Dr, Ebensburg, PA 15931-4917 2018-06-07
1972991339 Bi Incorporated Community/Behavioral Health 499 Manor Dr, Ebensburg, PA 15931-4917 2015-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245751288 From The Heart Penn State Home Health 2354 Colver Road, Ebensburg, PA 15931 2017-06-29
1154722304 Brenda Lee Stewart-bezilla Specialist 429 Manor Drive, Ebensburg, PA 15931 2014-09-08
1376959213 Dlp Conemaugh Physician Practices LLC Internal Medicine 139 Cook Rd Ste 140, Ebensburg, PA 15931 2014-07-10
1083990220 Brian J Sidone Counselor 3720 New Germany Rd, Ebensburg, PA 15931 2011-11-02
1508158643 Ibrahim Mustafa Altubasi Physical Therapist 3053 New Germany Road, Ebensburg, PA 15931 2011-05-09
1003090416 Robert Regis Maruca Dentist 300 W Highland Ave, Ebensburg, PA 15931 2007-12-20
1346375466 Danna Johnson Pharmacist 4501 William Penn Highway, Ebensburg, PA 15931 2007-02-22
1811094352 Bruce Allen Felix Optometrist 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 2006-09-19
1255440947 Errol Dudley Henriques General Practice 519 North Caroline Street, Ebensburg, PA 15931 2006-08-29
1073530507 Gregory Marion Zawrotny Dentist 501 West High Street, Ebensburg, PA 15931 2006-07-17
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083990220 Brian J Sidone Counselor 3720 New Germany Rd, Ebensburg, PA 15931 2011-11-02
1710281381 Samantha R Snowberger Counselor 499 Manor Dr, Ebensburg, PA 15931 2010-12-22
1144713942 Julie Boring Counselor 499 Manor Dr, Ebensburg, PA 15931-4917 2018-06-07
1821511577 Megan Nicole Dunlop Counselor 3720 New Germany Rd, Ebensburg, PA 15931-1862 2017-07-24
1013439660 Lindsey Eckenrode Counselor 3720 New Germany Rd, Ebensburg, PA 15931-1862 2017-07-14
1184993040 Mainline Pharmacy Ebensburg LLC Counselor 3720 New Germany Rd, Ebensburg, PA 15931-1862 2011-12-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1992314850 Finding Her Way, LLC Counselor 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 2020-07-27
1922626035 Jane-marie Kennedy Counselor 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 2020-07-07
1871110270 Randy Paul Macsisak Counselor 451 Chew St Ste 106, Allentown, PA 18102-3412 2020-07-01
1215554233 Scott T Reiman Counselor 1224 Whitehall Ave, Easton, PA 18045-5621 2020-06-26
1386269231 Rasheeda Jackson Counselor 117 Rosemar St, Philadelphia, PA 19120-1922 2020-06-16
1043835457 Kelly Anne Clarke Counselor American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 2020-06-11
1215551452 Grace Polohonki Counselor 490 Jefers Street, Dubois, PA 15801 2020-06-03
1902420425 Harry Shane Falwell Counselor 2203 W Liberty St, Allentown, PA 18104-4323 2020-06-01
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Competitor

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City EBENSBURG
Zip Code 15931

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Dataset Information

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.

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