BRIANNA RAE JOHNSON (NPI# 1952900375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952900375 |
Entity Type | Individual |
Full Name | BRIANNA RAE JOHNSON |
Other Name | BRIANNA RAE WOLLWERT |
Practice Address |
12 Health Services Dr Dekalb IL 60115-9637 |
Mailing Address |
Po Box 1109 Dekalb IL 60115-7109 |
Practice Telephone | 8157564875 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 474579189001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
1548826613 | Brianna Johnson | Counselor | 1463 Cranston St, Winter Springs, FL 32708-5638 | 2019-05-14 |
1588128474 | Brianna Johnson | Student in an Organized Health Care Education/Training Program | 8909 Warm Springs Rd Nw, Albuquerque, NM 87120-3242 | 2019-01-25 |
1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
1033655725 | Brianna Louise Epps Johnson | Pharmacist | 1021 Palisades Cir, 205, Belmont, NC 28012-3584 | 2017-01-18 |
1366051690 | Brianna Kristine Johnson | Nurse Practitioner | 128 Lakeside Ave, Burlington, VT 05401-4939 | 2020-07-22 |
1144856477 | Brianna Johnson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-03-18 |
1043843766 | Brianna Cresha Johnson | Technician | 2612 Naylor Rd Se, Washington, DC 20020-7260 | 2020-02-20 |
1578111746 | Brianna Johnson | Speech-Language Pathologist | 11721 Kemp Mill Rd, Silver Spring, MD 20902-1722 | 2019-08-29 |
1962068569 | Brianna Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-05-20 |
Street Address |
12 HEALTH SERVICES DR |
City | DEKALB |
State | IL |
Zip Code | 60115-9637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144393497 | Amylynn M Weiten | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2006-11-16 |
1215543111 | Rhyann Brianna Locke | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-09-17 |
1952925182 | Mariah Anne Thompson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-03 |
1376167734 | Hannah Grace Brennan | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-02 |
1619590981 | Samantha Nikole Gudmunson | Registered Nurse | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-05-21 |
1992326151 | Dianna Huttunen | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
1558982702 | Kathleen C Wilkerson | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
1457983108 | Andrew Ryan Phillips | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-02-11 |
1225670219 | Bonn Christian Cruz | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-10-11 |
1396394649 | Jennifer Lauren Larsen | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
Find all providers in zip 60115 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
1689109837 | Monique Shante Shaw | Counselor | 2487 Alpha Ct W, Dekalb, IL 60115-5827 | 2017-04-25 |
1972946028 | Michael William Elgersma | Counselor | 1500 E Lincoln Hwy Ste 1, Dekalb, IL 60115-3990 | 2013-04-09 |
1326391806 | Thomas Mark Kuchynka | Counselor | 1134 Gifford St, Dekalb, IL 60115-4465 | 2012-10-20 |
1538432521 | Mark Daniel Lindsey | Counselor | 1400 W Lincoln Hwy, Dekalb, IL 60115-2831 | 2012-02-22 |
1932336674 | Jessica Rojas | Counselor | 221 W Lincoln Hwy, Dekalb, IL 60115-3688 | 2009-06-21 |
1114126018 | Karyanna Salentine | Counselor | 431 Russell Rd Apt 1, Dekalb, IL 60115-2290 | 2007-07-12 |
1255497491 | Sue E. Ouellette | Counselor | 400 E Hillcrest Dr, Suite 100a, Dekalb, IL 60115-2480 | 2006-12-30 |
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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.