NICHOLAS JOHNSON (NPI# 1821422593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821422593 |
| Entity Type | Individual |
| Full Name | NICHOLAS JOHNSON |
| Practice Address |
151 N Main St Decatur IL 62523-1206 |
| Practice Telephone | 2173626262 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1043635501 | Nicholas Robert Johnson | Physical Therapist | 1900 Converse Ave Ste B, Cheyenne, WY 82001-4112 | 2014-02-20 |
| 1750651022 | Nicholas Ryan Johnson | Chiropractor | 920 10th St E, Glencoe, MN 55336-2301 | 2012-01-04 |
| 1851516975 | Nicholas D Johnson | Dentist | 644 Cherokee St Ne, Marietta, GA 30060-8910 | 2007-04-16 |
| 1467576868 | Nicholas Beeching Johnson | Psychologist | 162 Walnut Street, Brookline, MA 02445-6710 | 2007-03-19 |
| 1184738346 | Nicholas Craig Johnson | Dentist | 50 N Center St, East Alton, IL 62024-1708 | 2006-08-17 |
| 1104438357 | Nicholas Alan Johnson | Chiropractor | 1710 W 1st St, Ankeny, IA 50023-2526 | 2020-08-19 |
| 1235755042 | Nicholas Paul Johnson | Physical Medicine & Rehabilitation | 231 W Main St, Marlow, OK 73055-2439 | 2020-06-18 |
| 1831733161 | Nicholas Bornt Johnson | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2019-10-30 |
| 1437704640 | Nicholas Johnson | Behavior Technician | 27023 164th Ave Se, Covington, WA 98042-8241 | 2019-08-05 |
| Street Address |
151 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029361 | Heritage Behavioral Health Cent Opt | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2020-09-30 |
| 1881217206 | William Jihan | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1053934471 | Jasmine M Kaylor | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1891318218 | Andrea L Mccoy | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1366065989 | Lindsay M Orlowski | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1578186185 | Whitley B Hofer | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1760003586 | Megan R Markwell | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1316568132 | Erin Taylor | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| 1295246320 | Barbara A Nadler | Speech-Language Pathologist | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2017-10-16 |
| Find all providers in zip 62523 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244293 | Agape Change Family Counseling & Consultation Services LLC | Counselor | 2128 Willamette Way, Decatur, GA 30032-6036 | 2020-08-04 |
| 1366082356 | Morgan Tudor | Counselor | 433 W Pershing Rd, Decatur, IL 62526-3238 | 2020-01-08 |
| 1083171896 | William Dale Cottrell II | Counselor | 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 | 2019-02-28 |
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1528538048 | Beatrice Irma Richie | Counselor | 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 | 2018-11-27 |
| 1912473711 | Kameshia Hawkins | Counselor | 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 | 2018-10-18 |
| 1467942706 | Marla Singleton | Counselor | 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 | 2018-05-11 |
| 1306348321 | Maureen P Nolan | Counselor | 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 | 2018-03-06 |
| 1619493806 | Camille Hankins | Counselor | 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 | 2017-08-18 |
| 1609390319 | Subrena Ann Glenn | Counselor | 3745 Brookside Pkwy, Decatur, GA 30034-5714 | 2017-08-03 |
| Find all providers in DECATUR | ||||
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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.