Donna Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0204 Issued in GA

Practice address

2644 30TH St
Santa Monica, CA 90405-3060

Phone

(770) 714-7605

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1073142014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST STE 110",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213353",
            "telephone_number": "770-714-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 30TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053060",
            "telephone_number": "770-714-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301213353",
            "country_code": "US",
            "telephone_number": "770-714-7605 x77071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Taylor Johnson
• Chris A. Johnson, DC
• Christopher Johnson
• Delois Penelope Johnson
• Denise J Johnson
• Eileen Ruth Johnson, PT
• Gadson John Johnson Jr., M.D.
• Gekesha Johnson
• Janette Lynn Johnson, LCSW, MFT
• Jeffrey Kyle Johnson, ATC

• Addiction (Substance Use Disorder) Counselor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

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