Rochelle Maxine Johnson, LICDC, CRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

031000 Issued in OH

Practice address

2001 E Central Ave
Toledo, OH 43608-2241

Phone

(419) 726-7577

Fax

(419) 726-7158

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Rochelle Maxine Johnson-Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1013367853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 ROCKCRESS DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436159235",
            "telephone_number": "419-297-7655",
            "fax_number": "419-726-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082241",
            "telephone_number": "419-726-7577",
            "fax_number": "419-726-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROCHELLE",
        "middle_name": "MAXINE",
        "name_prefix": "Ms.",
        "credential": "LICDC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "031000",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "031000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "JOHNSON-COOK",
            "middle_name": "MAXINE",
            "prefix": "MRS.",
            "credential": "LICDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omar A Johnson, QMHS
• Phyllis Johnson, CMS
• Racquel Johnson, LPN
• Ramon Johnson
• Reginald Johnson
• Russell Johnson
• Ryan D. Johnson
• Sarah Jo Johnson, RN
• Shalayna Lynise Johnson
• Shannon Symone Johnson, RN

• Addiction (Substance Use Disorder) Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.