VICKI L. JOHNSON (NPI# 1881084812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084812 |
| Entity Type | Individual |
| Full Name | VICKI L. JOHNSON |
| Credential | LPC |
| Practice Address |
337 Se Fowler St Roseburg OR 97470-4348 |
| Mailing Address |
272 Nw Medical Loop Suite E Roseburg OR 97471-5597 |
| Practice Telephone | 5413750350 |
| Mailing Telephone | 5414403532 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C3720 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518174911 | Vicki Ann Johnson | Marriage & Family Therapist | 29034 216th Ave Se Ste 3b, Black Diamond, WA 98010-1297 | 2007-05-16 |
| 1174678346 | Vicki Johnson | Midwife | 6092 Torch Lite Trl, Loves Park, IL 61111-3424 | 2007-01-25 |
| 1730157207 | Vicki Johnson | Social Worker | 16354 Rusty Rudder Dr, Woodbridge, VA 22191-6357 | 2006-03-10 |
| 1942495361 | Vicki Johnson | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2007-09-10 |
| 1396968558 | Vicki Diane Johnson | Counselor | 68615 Perez Rd, Suite 2a, Cathedral City, CA 92234-7200 | 2007-04-10 |
| 1114062510 | Vicki Johnson | Marriage & Family Therapist | 13911 Ridgedale Dr, Suite 330, Minnetonka, MN 55305-1771 | 2007-02-21 |
| 1558446799 | Vicki Helen Johnson | Dentist | 6070 Route 53, Lisle, IL 60532-3395 | 2006-10-26 |
| 1851329775 | Vicki L. Johnson | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2499 | 2006-06-29 |
| Street Address |
337 SE FOWLER ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215040175 | Patricia Ann Taylor | Case Manager/Care Coordinator | 337 Se Fowler St, Roseburg, OR 97470-4348 | 2006-08-16 |
| 1497366751 | Nancy Marie Pierce | Counselor | 337 Se Fowler St, Roseburg, OR 97470-4348 | 2020-08-11 |
| 1255942744 | Jennifer M Sprague | Counselor | 337 Se Fowler St, Roseburg, OR 97470-4348 | 2020-08-10 |
| 1851639322 | Joy Lynn Ward | Case Manager/Care Coordinator | 337 Se Fowler St, Roseburg, OR 97470-4348 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144585332 | Jessica J Hansen | Counselor | 1614 Se Stephens St, Roseburg, OR 97470-4000 | 2012-07-12 |
| 1205155645 | Greg Clayton Tillman-white | Counselor | 1376 Ne Walnut St, Roseburg, OR 97470-2242 | 2010-05-25 |
| 1629308820 | Jeff Dane Christensen | Counselor | 5583 Sunshine Rd, Roseburg, OR 97470-9458 | 2010-01-11 |
| 1558404772 | Clare Yvonne Salthouse | Counselor | 612 Se Jackson St, Suite 11, Roseburg, OR 97470-4989 | 2007-02-15 |
| 1679629356 | Bari S Isaacson | Counselor | 845 Se Mosher Ave, Roseburg, OR 97470-3961 | 2007-01-26 |
| 1235782293 | Mark A Saren | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-07-18 |
| 1902467988 | Grant Schroeder | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-06-21 |
| 1669949806 | Cynthia Rehberg | Counselor | 545 W Umpqua St Ste 1, Roseburg, OR 97471-2979 | 2018-10-25 |
| 1396132775 | Kim Annette Smith | Counselor | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2015-04-23 |
| 1871982843 | David E Vancott | Counselor | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2015-01-14 |
| Find all providers in ROSEBURG | ||||
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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.