MR. JACKIE GLEN JOHNSON (NPI# 1871130112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871130112 |
| Entity Type | Individual |
| Full Name | MR. JACKIE GLEN JOHNSON |
| Practice Address |
434 Ashlawn Dr Midlothian TX 76065-5612 |
| Practice Telephone | 8176095474 |
| Practice Fax Number | 4696726069 |
| Mailing Telephone | 8176095474 |
| Mailing Fax Number | 4696726069 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770745457 | Jackie Eugene Johnson Sr. | Counselor | 1020 Sw Taylor St Ste 650, Portland, OR 97205-2506 | 2008-06-25 |
| 1982185021 | Jackie Johnson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2018-08-27 |
| 1982114344 | Jackie Jerome Johnson Sr. | Counselor | 1715 26th St, Lubbock, TX 79411-1524 | 2017-10-11 |
| 1861940108 | Jackie Johnson | Massage Therapist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2016-09-15 |
| 1740692318 | Jackie Johnson | Behavioral Analyst | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2014-05-29 |
| 1407166119 | Jackie Johnson | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2010-10-15 |
| 1740516251 | Jackie Ann Johnson | Licensed Practical Nurse | 627 Smithview Dr, Maryville, TN 37803-6100 | 2009-10-19 |
| 1679707541 | Jackie H Johnson Jr. | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2009-05-07 |
| 1053320218 | Jackie Ray Johnson | Nurse Anesthetist, Certified Registered | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2006-08-05 |
| Street Address |
434 ASHLAWN DR |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704164 | Mighty Men of Valor Limited Liability Company | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472766 | Ikoot Inc | Case Management | 9212 Miranda Ln, Midlothian, VA 23112-6919 | 2020-03-18 |
| 1104292721 | Hattie's Way | Case Management | 12220 Chattanooga Plz, Midlothian, VA 23112-4865 | 2015-08-18 |
| 1598131674 | Toddlers To Grandparents, LLC | Case Management | 4439 Old Fox Trl, Midlothian, VA 23112-4750 | 2015-08-12 |
| 1871990176 | Assurance LLC | Case Management | 12220 Chattanooga Plaza, #173, Midlothian, VA 23112 | 2014-12-02 |
| 1255736468 | A Tender Heart | Case Management | 11606 New Forest Trl, Midlothian, VA 23112-3080 | 2014-10-30 |
| 1457751141 | Mary Ann Powell | Case Management | 12220 Chattanooga Plaza, #173, Midlothian, VA 23112 | 2014-08-29 |
| 1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
| 1730704164 | Mighty Men of Valor Limited Liability Company | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487816 | Total Restoration Behavioral Science and Counseling Center | Case Management | 9823 Brilliant Lake Dr, Humble, TX 77396-1570 | 2020-11-04 |
| 1609477157 | H.a.r Support Services, LLC | Case Management | 5608 Bellissima Way, Round Rock, TX 78665-2667 | 2020-11-02 |
| 1760081228 | Lighthouse Group Homes, LLC | Case Management | 2109 Quail Run Apt B, Mckinney, TX 75071-1013 | 2020-10-25 |
| 1760081715 | Valescere Spring Branch | Case Management | 10005 Lazy Oaks Dr, Houston, TX 77080 | 2020-10-21 |
| 1588263966 | Building Bridges With Love | Case Management | 611 Dairy Ashford Rd Apt 407, Houston, TX 77079-3925 | 2020-10-18 |
| 1720686959 | Enlightened Gems Home Healthcare, Inc. | Case Management | 6547 Beech Trail Dr, Converse, TX 78109-3373 | 2020-10-09 |
| 1114524584 | Kimberly Marie Pittard | Case Management | 3906 Figure Four Lake Ln, Richmond, TX 77406-8084 | 2020-10-07 |
| 1821605312 | Mmk Group of Texas | Case Management | 21510 Hales Hunt Ct, Spring, TX 77388-6952 | 2020-09-28 |
| 1104433853 | Amy Sanford | Case Management | 23770 Springwoods Village Pkwy Apt 258, Spring, TX 77373-5104 | 2020-09-28 |
| 1316554215 | A New Way of Life Mentoring Services | Case Management | 7601 Fm 1960 Rd E, Humble, TX 77346-2209 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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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.