REGINALD JOHNSON (NPI# 1831564814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831564814 |
| Entity Type | Individual |
| Full Name | REGINALD JOHNSON |
| Credential | SCA-IT |
| Practice Address |
3707 N Richards St Milwaukee WI 53212-1673 |
| Mailing Address |
7314 W Burleigh St Apt 3 Milwaukee WI 53210-1082 |
| Practice Telephone | 4149677006 |
| Practice Fax Number | 4149677020 |
| Mailing Telephone | 4144477208 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16415-130 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1780850594 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728447 | Reginald Johnson | Counselor | 7024 Woodside Dr, Indianapolis, IN 46260-3979 | 2018-01-19 |
| 1447706767 | Reginald Johnson | Social Worker | 1008 Clemmers Mill Rd, Schwenksville, PA 19473-1916 | 2016-08-28 |
| 1023483468 | Reginald Johnson | Student in an Organized Health Care Education/Training Program | 6901 S Harvard Ave, Chicago, IL 60621-3722 | 2015-12-10 |
| 1689941510 | Reginald Johnson | Counselor | 14203 Brangus Rd, Shawnee, OK 74804-3330 | 2011-11-21 |
| 1700853744 | Reginald A. Johnson | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2006-03-08 |
| 1780133140 | Reginald Johnson | Physical Therapist | 1315 Nw 21st Ave, Suite 3, Chiefland, FL 32626-1977 | 2016-09-27 |
| 1902254477 | Reginald Johnson | Nurse Practitioner | 2409 W Pierce St, Suite A, Carlsbad, NM 88220-3513 | 2016-05-25 |
| 1700091691 | Reginald Antwan Johnson | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2007-05-14 |
| 1013049477 | Reginald Johnson | Counselor | 1270 Natividad Rd # 200, Salinas, CA 93906-3122 | 2007-03-12 |
| 1720136245 | Reginald A Johnson | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-01-08 |
| Street Address |
3707 N RICHARDS ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
| 1124626981 | Carolyn Marie Lewis | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-10-14 |
| 1073120499 | Kathleen Joan St John | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-09-29 |
| 1700404266 | Sheryl Lynn Cotton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-10 |
| 1477171205 | Carmella L Caceres | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-08 |
| 1306471644 | Lea Nickolas | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-03-06 |
| 1366074635 | Michelle Englund | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-02-05 |
| 1750926531 | A D Venzel Owens | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-11-15 |
| 1205479698 | Natalie Bolton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-10-18 |
| 1083277057 | Patricia Martin | Licensed Practical Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on REGINALD 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.