MICHELLE L JOHNSON (NPI# 1811465784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811465784 |
| Entity Type | Individual |
| Full Name | MICHELLE L JOHNSON |
| Credential | LPC |
| Practice Address |
3902 E Grant Rd Tucson AZ 85712-2558 |
| Practice Telephone | 5204684801 |
| Mailing Telephone | 5204684801 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17623 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | LPC-17623 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3939 S Park Ave Ste 150-190, Tucson, AZ 857141635 | 5203334320 | 5202070542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1659986321 | Michelle Lynn Johnson | Clinic/Center | 576 Bahia Cir Apt A, Ocala, FL 34472-2267 | 2020-09-10 |
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1649816315 | Michelle Renae Johnson | Behavioral Analyst | 901 E Washington St Apt 338, Colton, CA 92324-8143 | 2019-11-18 |
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1508361890 | Michelle Honorae-cano Johnson | Behavior Technician | 610 Bercut Dr, Sacramento, CA 95811-0115 | 2018-03-28 |
| 1003329590 | Michelle Lynne Johnson | Specialist | 1891 River St, Hyde Park, MA 02136-1418 | 2017-11-07 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| Street Address |
3902 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568485951 | Colleen Anne Gumm | Registered Nurse | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2006-07-26 |
| 1942681143 | Alessandra Louise Clark | Family Medicine | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2015-06-12 |
| 1366638561 | John Leander Po | Internal Medicine | 3902 E Grant Rd, Tucson, AZ 85712-2558 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1679194898 | Kelly J Wilt | Counselor | 469 S Convent Ave, Tucson, AZ 85701-2261 | 2020-04-28 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| Find all providers in TUCSON | ||||
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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.