CHERYL LEE ANN JOHANSEN (NPI# 1932753191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932753191 |
| Entity Type | Individual |
| Full Name | CHERYL LEE ANN JOHANSEN |
| Credential | SUDRC |
| Practice Address |
2445 W Whites Bridge Ave Fresno CA 93706-1225 |
| Mailing Address |
4650 E Byrd Ave Fresno CA 93725-1642 |
| Practice Telephone | 5592645096 |
| Practice Fax Number | 5592641258 |
| Mailing Telephone | 5592700750 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2445 W WHITES BRIDGE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790987048 | Agnes Wright | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2007-05-31 |
| 1780239715 | Vanessa Elle Brown | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-08-06 |
| 1356996763 | Cynthia Rose Gonzalez | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-08-03 |
| 1114571122 | Arthur Vidal Rocha IIi | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-07-29 |
| 1588216170 | Philip Paul Tristan | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-07-12 |
| 1174084438 | Kristopher Glenn Villanueva | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-03-28 |
| 1275003097 | Rosa Maria R Zuniga | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2018-12-05 |
| 1932678125 | Mary Christina Madrid | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2018-11-16 |
| 1104395532 | Roland David King | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2018-11-14 |
| 1679062475 | Ashley Marie Peraza | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.