Individual provider Active NPI

Brenda Johnson, SUDCC II

  • Addiction (Substance Use Disorder) Counselor
  • Hanford, CA
National Provider Identifier
1013443233
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11438 Issued in CA
Practice address
311 N Douty St
Hanford, CA 93230-3951
Phone
(559) 583-9300
Fax
(559) 583-9307
NPI assigned
May 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11438 CA Primary

Addresses

Primary practice location

311 N Douty St
Hanford, CA 93230-3951

Mailing address

311 N Douty St
Hanford, CA 93230-3951
Phone (559) 583-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1013443233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303951",
            "telephone_number": "559-583-9300",
            "fax_number": "559-583-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303951",
            "telephone_number": "559-583-9300",
            "fax_number": "559-583-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "credential": "SUDCC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.