SIDNEY M JOHNSON (NPI# 1932614351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932614351 |
| Entity Type | Individual |
| Full Name | SIDNEY M JOHNSON |
| Credential | PLPC |
| Practice Address |
1221 Broadway St Hannibal MO 63401 |
| Mailing Address |
1221 Broadway # Ath Hannibal MO 63401-4005 |
| Practice Telephone | 5732212111 |
| Mailing Telephone | 5732212111 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2017041669 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992773626 | Sidney P Johnson | General Practice | 11 Johnson St, Hazlehurst, GA 31539-6243 | 2006-03-09 |
| 1497757603 | Sidney A Johnson Jr. | Radiology | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2005-06-01 |
| 1285790733 | Sidney Johnson | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-12-29 |
| 1316042583 | Sidney M. Johnson | Surgery | 1319 Punahou St, Suite 600, Honolulu, HI 96826-1001 | 2006-09-13 |
| Street Address |
1221 BROADWAY ST |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| 1558530196 | Dolores Edith Haynes | Nurse Practitioner | 6000 Hosptial Drive, Hannibal, MO 63401 | 2008-02-28 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1477839629 | Boramie Kim Noordhoff | Counselor | 2 Melgrove Ln, Suite 100, Hannibal, MO 63401-2200 | 2011-11-01 |
| 1407164726 | Dora Denise Mitchell | Counselor | #2 Melgrove Lane, Suite 100, Hannibal, MO 63401-2200 | 2010-09-21 |
| 1386939585 | Susan Kirchner | Counselor | 3700 Hwy Mm, Hannibal, MO 63401-3602 | 2011-06-15 |
| 1124358783 | Kathleen Mary Korte | Counselor | 3700 Highway Mm, Hannibal, MO 63401-3602 | 2010-01-05 |
| 1295831600 | Angela Jean Kemner | Counselor | 8965 Highway 36, Box 2, Hannibal, MO 63401-6739 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1275156382 | Rebecca King | Counselor | 5407 Bagnall Dr, Jefferson City, MO 65109-0484 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
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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.