JOSEPH ETHAN JOHNSON (NPI# 1841407574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841407574 |
| Entity Type | Individual |
| Full Name | JOSEPH ETHAN JOHNSON |
| Credential | BA |
| Practice Address |
390 Park St Jacksonville FL 32204-2342 |
| Mailing Address |
1061 Fruit Cove Rd Jacksonville FL 32259-3151 |
| Practice Telephone | 9048996300 |
| Practice Fax Number | 9048996380 |
| Mailing Telephone | 9046516975 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701117 | Joseph Johnson | Case Manager/Care Coordinator | 307 Sw C Ave, Lawton, OK 73501-4016 | 2019-03-26 |
| 1114418480 | Joseph H Johnson | Optometrist | 2831 W 1150 S, Syracuse, UT 84075-5114 | 2018-05-22 |
| 1619347945 | Joseph Johnson | Counselor | 9377 Delores Dr, Shreveport, LA 71118-3304 | 2015-09-29 |
| 1821486853 | Joseph Anthony Johnson | Counselor | 2091 Professional Dr Ste D, Flint, MI 48532-3657 | 2014-12-29 |
| 1336576602 | Joseph D. Johnson | Counselor | 448 Belleville St, New Orleans, LA 70114-1115 | 2013-10-02 |
| 1790042539 | Joseph Wong Johnson | Dentist | 8417 W 101st Street Cir, Bloomington, MN 55438-1914 | 2012-04-18 |
| 1134493455 | Joseph D Johnson | Chiropractor | 9170 E Bahia Dr Ste 108, Scottsdale, AZ 85260-1530 | 2012-03-05 |
| 1831467745 | Joseph Junior Johnson | Naturopath | 18 Reef Rd, Fairfield, CT 06824-5920 | 2011-12-06 |
| 1215180583 | Joseph Kelly Johnson | Pharmacist | 495 W Main St, Lebanon, KY 40033-1322 | 2008-10-30 |
| 1306007877 | Joseph N Johnson | Anesthesiology | 14 Tetilla Rd, Santa Fe, NM 87508-2203 | 2008-06-18 |
| Street Address |
390 PARK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841687639 | Kimberly Tisha Smith | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2015-04-20 |
| 1659541654 | Raymond Martin Pomm | Psychiatry & Neurology | 390 Park St, Jacksonville, FL 32204-2342 | 2008-03-05 |
| 1003011545 | Gloria Hanania | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-06-15 |
| 1790986693 | Jacqueline Gamble Williams | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-29 |
| 1700097888 | River Region Human Services | Community Based Residential Treatment Facility, Mental Illness | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-24 |
| 1811106149 | Melinda Tucker | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-22 |
| 1942416649 | Robin Sue Spires | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1588870208 | Talundria Prince | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1568507853 | River Region Human Services Inc | Community/Behavioral Health | 390 Park St, Jacksonville, FL 32204-2342 | 2007-02-21 |
| 1588686877 | Daphne T Hayes | Nurse Practitioner | 390 Park St, Jacksonville, FL 32204-2342 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.