Vera D John, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0110991 Issued in NM

Practice address

300 W Nizhoni Blvd
Suite a
Gallup, NM 87301-5766

Phone

(505) 722-9470

Fax

(505) 722-9570

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gallup Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Gallup, NM
  • NPI 1588925788
  NPD (past) Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1073707600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W NIZHONI BLVD",
            "address_2": "SUITE A",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015766",
            "telephone_number": "505-722-9470",
            "fax_number": "505-722-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NIZHONI BLVD",
            "address_2": "SUITE A",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015766",
            "telephone_number": "505-722-9470",
            "fax_number": "505-722-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "VERA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0110991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Jimenez, RN
• Jjdac Inc.
• Jjdac, LLC
• Kasha K John
• Michelle John
• Eugenia M Johns, RN
• Alexis Johnson, TAXONOMY CODE
• Anna M Johnson, RN
• Eli B. Johnson, CSW
• Ericka Johnson, RN

• Professional Counselor in Gallup, NM
• Providers in Gallup, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.