Johnson Behavioral Health Group

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JOHNSON BEHAVIORAL HEALTH GROUP

Practice address

4830 Line Ave Ste 302
Shreveport, LA 71106-1530

Phone

(318) 379-4488

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Abigail Johnson, APRNNPI 1629579107

Title

Ceo

Phone

(318) 379-4488

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Speights Johnson, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
  • NPI 1629579107
  NPD Authorized official
• Jamie Erin Buchanan

  • Assistant Behavior Analyst
  • Shreveport, LA
  • NPI 1679369797
  NPD
• Cristina Evans, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1417668120
  NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1063019156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 LINE AVE STE 302",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061530",
            "telephone_number": "318-379-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 LINE AVE STE 302",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061530",
            "telephone_number": "318-379-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-379-4488",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Moissidis MD and Willis-Knighton Medical Center
• John S Kilpatrick MD a Professional Medical Corporation
• Joseph Mullasseril John, D.O,
• Chantanell Johns
• Rachel Elizabeth Johns, MOT/L
• Terrika Johnson-Dyer
• Marie Johnson-Watts
• Adria Johnson
• Alexus Danielle Johnson, CSW
• Amber Johnson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.