LARRY D JOHNSON (NPI# 1902370281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902370281 |
| Entity Type | Individual |
| Full Name | LARRY D JOHNSON |
| Practice Address |
4300 Sw 13th St Gainesville FL 32608-4006 |
| Mailing Address |
223 Se 14th Ln Gainesville FL 32601-7915 |
| Practice Telephone | 3523745600 |
| Mailing Telephone | 3522265890 |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2019-12-16 |
| 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 | ||
| N | 171M00000X | Case Manager/Care Coordinator | FL | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 Se 14th Ln, Gainesville, FL 326017915 | 3522265890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367032 | Larry R Johnson Jr. | Registered Nurse | 5011 State Rd, Fort Gratiot, MI 48059-2909 | 2018-12-16 |
| 1093103491 | Larry Johnson Sr. | Private Vehicle | 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887 | 2015-01-07 |
| 1578981262 | Larry Johnson | Pharmacist | 18928 Auberry Rd, Clovis, CA 93619-9641 | 2014-03-31 |
| 1841588316 | Larry Brian Johnson | Pharmacist | 37435 Main St, Burney, CA 96013-4372 | 2011-07-18 |
| 1396983888 | Larry Wayne Johnson | Specialist | 9570 Ridgehaven Ct, Suite C, San Diego, CA 92123-1667 | 2009-01-22 |
| 1669448155 | Larry Dean Johnson | Chiropractor | 413 Ne Van Loon Ln, #126, Cape Coral, FL 33909-2525 | 2006-02-24 |
| 1932183043 | Larry Wayne Johnson | Family Medicine | 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | 2005-12-01 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| 1487203477 | Larry Darnell Johnson | Social Worker | 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403-2416 | 2019-09-11 |
| 1417423468 | Larry Johnson | Case Manager/Care Coordinator | 4348 S Jeffrey Dr Ste 102, Baton Rouge, LA 70816-4196 | 2018-10-17 |
| Street Address |
4300 SW 13TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660441 | Jody Lane Brown | Psychiatry & Neurology | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2005-09-27 |
| 1871194407 | Pauline Metcalf | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1972104503 | Lakecia D Bailey | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1417558040 | Tiffany A Gommel | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1982203469 | Ciearra Washanda Smith | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1619576196 | Michelin R Shatteen | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1720687122 | Janee A Gilliam | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-19 |
| 1104424217 | Lanette Jackson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1326646522 | Shoshanah A Bush | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1972100816 | Shanda N Whittle | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| 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 |
|---|---|---|---|---|
| 1477113140 | Catlin Cade Bauer | Counselor | 4421 Nw 39th Ave Ste 3, Gainesville, FL 32606-7221 | 2019-06-16 |
| 1861050247 | Timothy Tackett | Counselor | 4300 Sw 13th St # 2, Gainesville, FL 32608-4006 | 2019-05-31 |
| 1134785934 | Connecting The Dots Services, LLC | Counselor | 901 Nw 8th Ave Ste C18, Gainesville, FL 32601-5089 | 2019-05-16 |
| 1922564012 | Charmayne Latriece Jackson | Counselor | 2601 Nw 23rd Blvd Apt 243, Gainesville, FL 32605-5958 | 2019-02-14 |
| 1407343932 | Michelle Lynn Tanner | Counselor | 7450 Heritage Village Plz Unit 101, Gainesville, VA 20155-3091 | 2018-04-19 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1255860193 | Debra Lynn Weiss Hatfield | Counselor | 2240 Nw 40th Ter Ste A, Gainesville, FL 32605-3590 | 2017-06-05 |
| 1558807701 | Tamara Mckenzie | Counselor | 4300 Sw13th St, Gainesville, FL 32608-4006 | 2017-01-12 |
| 1245776616 | Izerial Toles | Counselor | 324 S Lindsay St, Gainesville, TX 76240-4834 | 2017-01-10 |
| 1306392352 | Brooke Schultz | Counselor | 4400 Sw 13th Street, Gainesville, FL 32608 | 2016-08-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on LARRY D 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.