Active NPI
Herstine Johnson, RAS
- Addiction (Substance Use Disorder) Counselor
- Compton, CA
National Provider Identifier
1023353422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RI-J0505021432
- Practice address
- 1450 E Compton Blvd
# 115
Compton, CA 90221-3403 - Phone
- (310) 669-8673
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-J0505021432 | CA | Primary |
Addresses
Primary practice location
1450 E Compton Blvd
# 115
Compton, CA 90221-3403
Mailing address
1450 E Compton Blvd
# 115
Compton, CA 90221-3403
Phone (310) 669-8673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI-J0505021432 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1023353422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 E COMPTON BLVD",
"address_2": "# 115",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213403",
"telephone_number": "310-669-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E COMPTON BLVD",
"address_2": "# 115",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213403",
"telephone_number": "310-669-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HERSTINE",
"credential": "RAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-J0505021432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.