Mary A Johnson (NPI# 1609005628, PAC ID# 1254505837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1609005628 |
| PAC ID by PECOS | 1254505837 |
| Professional Enrollment ID | I20111116000490 |
| Full Name | Mary A Johnson |
| Organization Legal Name | THREE OAKS COUNSELING GROUP LLC |
| Address |
4749 Williams Dr Suite 301 Georgetown TX 78633-3711 |
| Phone Number | 5124004069 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2163728692 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 | 5124004069 | THREE OAKS COUNSELING GROUP LLC |
| Organization Legal Name | THREE OAKS COUNSELING GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Lucas | Nurse Practitioner | Three Oaks Counseling Group LLC | 5524 Bee Caves Rd, Suite H2, West Lake Hills, TX 78746-5246 |
| Lori E Stowers Wright | Psychologist, Clinical | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Linda Mikesic | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Ashley Lauren Rogers | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Justin M Scaffa | Nurse Practitioner | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Alicia Mary Baird | Nurse Practitioner | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Barbara Rose Wood | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Michael A. Schwartz | Psychiatry | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Heather J Davis | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Street Address |
4749 WILLIAMS DR SUITE 301 |
| City | GEORGETOWN |
| State | TX |
| Zip | 78633-3711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori E Stowers Wright | Psychologist, Clinical | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Linda Mikesic | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Katherine Vega | Family Medicine | Ochna Health | 4749 Williams Dr, 304 Ochna Health Georgetown, Georgetown, TX 78633-3700 |
| Ashley Lauren Rogers | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Justin M Scaffa | Nurse Practitioner | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Douglas M Tilton | Diagnostic Radiology | 4749 Williams Dr, Suite 333, Georgetown, TX 78633-3711 | |
| Chau H Nguyen | Family Medicine | Ochna Health | 4749 Williams Dr, 304 Ochna Health Georgetown, Georgetown, TX 78633-3700 |
| Alicia Mary Baird | Nurse Practitioner | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Barbara Rose Wood | Clinical Social Worker | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Michael A. Schwartz | Psychiatry | Three Oaks Counseling Group LLC | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Jones Jr. | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Sulochana Bhandarkar | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Elizabeth Cabrera | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Matthew T Smetanick | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Megan Diane Nixon | Physician Assistant | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Rebecca L Martin | Physician Assistant | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Christopher W Conner | Plastic and Reconstructive Surgery | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Sarah Noranne Gee | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Mollie M Jan | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Amara Z. Sayed | Dermatology | Mountain West Derm - Austin Pllc | 4513 Williams Dr, Vitalogy Skincare, Georgetown, TX 78633-1302 |
| Find all physicians in zip 78633 | |||
| City | GEORGETOWN |
| Zip Code | 78633 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GEORGETOWN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mary A Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.