JACOB ALAN JOHNSON (NPI# 1891045795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891045795 |
| Entity Type | Individual |
| Full Name | JACOB ALAN JOHNSON |
| Credential | PHD |
| Practice Address |
1120 E Main St Suite 201 St Charles IL 60174-2287 |
| Practice Telephone | 6303776613 |
| Practice Fax Number | 6303776225 |
| Mailing Telephone | 6303776613 |
| Mailing Fax Number | 6303776225 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.000941 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1952811861 | Jacob Johnson | Specialist/Technologist | 33610 Washington St Ne, Cambridge, MN 55008-9153 | 2017-10-05 |
| 1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
| 1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
| 1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
| Street Address |
1120 E MAIN ST SUITE 201 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117361 | David J. Norton | Counselor | 1120 E Main St, St Charles, St Charles, IL 60174-2287 | 2005-07-11 |
| 1144765157 | Hollyn M Michaels | Counselor | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2016-12-29 |
| 1366817439 | Bethany Rutsay | Social Worker | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2015-12-01 |
| 1588040109 | Katie N Leibman | Counselor | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2015-08-05 |
| 1710380431 | Sara Beth Schramer | Counselor | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2014-10-08 |
| 1023350154 | Kyle James Smith | Counselor | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2013-03-27 |
| 1750631560 | Beverlee Ann Ludema | Psychologist | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2012-09-19 |
| 1033476833 | Christine L Chatman | Social Worker | 1120 E Main St, St Charles, IL 60174-2287 | 2012-04-18 |
| 1194095950 | Krista G Brennfoerder | Counselor | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2012-01-10 |
| 1619007481 | Dorothy O'halloran | Counselor | 1120 E Main St, Ste. 201, St Charles, IL 60174-2287 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1891063038 | Angella Macdonald | Marriage & Family Therapist | 240 S 5th Ave, Ste. A, St Charles, IL 60174-2905 | 2011-12-02 |
| 1407949951 | James R Otepka | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2006-10-02 |
| 1487640454 | Kenneth Kuhn | Marriage & Family Therapist | 311 N 2nd St Ste 304, St Charles, IL 60174-1853 | 2005-09-23 |
| 1891395976 | Alexis Garza | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-28 |
| 1619484425 | Erica Marie Bell | Marriage & Family Therapist | 311 N 2nd St Ste 304, St Charles, IL 60174-1853 | 2018-01-02 |
| 1417471533 | Melissa Catherine Ludzack | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174 | 2017-07-31 |
| 1801340518 | Lauren Mollica | Marriage & Family Therapist | 201 Cedar Ave, St Charles, IL 60174-2025 | 2016-08-10 |
| 1437544798 | John Jacob Wett | Marriage & Family Therapist | 104 S 2nd Ave, St Charles, IL 60174-1932 | 2015-04-03 |
| 1063716074 | Kathryn Lesley Ditch | Marriage & Family Therapist | 226 State St, St Charles, IL 60174-1864 | 2011-01-05 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.