KEITH MICHAEL JOHNSON (NPI# 1780937821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780937821 |
| Entity Type | Individual |
| Full Name | KEITH MICHAEL JOHNSON |
| Credential | C.A.S.A.C. |
| Practice Address |
16812 127th Ave Apt # 7e Jamaica NY 11434-3152 |
| Practice Telephone | 3474660698 |
| Mailing Telephone | 3474660698 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | C.A.S.A.C. | 12777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1700929031 | Keith Vincent Johnson | Specialist/Technologist | 13 Fahnestock Rd, Malvern, PA 19355-2104 | 2007-02-15 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| 1841263159 | Keith A Johnson | Psychiatry & Neurology | 33 Fruit St, Mass General Physican Organization, Boston, MA 02114-2621 | 2006-02-08 |
| Street Address |
16812 127TH AVE APT # 7E |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750734083 | Blessing Owoeye | Early Intervention Provider Agency | 16812 127th Ave, Apt # 6a, Jamaica, NY 11434-3152 | 2016-07-21 |
| 1881087484 | Jenny Etienne | Technician, Other | 16812 127th Ave, Jamaica, NY 11434-3152 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329732 | Debra Lynn West | Counselor | 16318 Jamaica Ave Ste 5, Jamaica, NY 11432-4901 | 2019-04-23 |
| 1265096408 | Tiffany Monique Hines | Counselor | 16318 Jamaica Ave Ste 501, Jamaica, NY 11432-4919 | 2019-04-23 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1912426594 | Curtis Evans | Counselor | 17520 Hillside Ave Ste 2, Jamaica, NY 11432-5732 | 2017-09-14 |
| 1851811509 | Donna Pickersgill-brown | Counselor | 17020 130th Ave Apt 6a, Jamaica, NY 11434-3226 | 2017-06-23 |
| 1003336074 | Marie Elizabeth Manley | Counselor | 16204 Tuskegee Airmen Way, Jamaica, NY 11433-1608 | 2017-06-21 |
| 1689123796 | Colin Kowlessar | Counselor | 17732 129th Ave, Jamaica, NY 11434-5822 | 2016-09-30 |
| 1356714141 | Mervin Rhymes | Counselor | 11630 Sutphin Blvd., Jamaica, NY 11434 | 2015-11-03 |
| 1720332067 | Shola Thompson | Counselor | 10704 Guy R Brewer Blvd, Suite 7c, Jamaica, NY 11433-2380 | 2012-11-08 |
| 1891094405 | Lisa Miller Bethea | Counselor | 17505 Wexford Ter, 1b, Jamaica, NY 11432 | 2011-03-22 |
| Find all providers in JAMAICA | ||||
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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.