Angel Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10 Douglas Dr
Suite 140
Martinez, CA 94553-4077

Phone

(925) 313-1155

Fax

(925) 313-1163

NPI assigned

Jan 16, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Shasta

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
  • NPI 1881692390
  Medicare reassignment NPD
• County of Shasta

  • State or Local Public Health Clinic/Center
  • Redding, CA
  • NPI 1588709182
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1093867616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOUGLAS DR",
            "address_2": "SUITE 140",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534077",
            "telephone_number": "925-313-1155",
            "fax_number": "925-313-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOUGLAS DR",
            "address_2": "SUITE 140",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534077",
            "telephone_number": "925-313-1155",
            "fax_number": "925-313-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Perez Jewell, M.A.
• Danielle Marie Jimenez
• JL Psychological Enterprises
• Jelani Johnson-Briscoe
• Angela Marie Johnson-Rodgers, RN,BSN
• Emily Johnson
• George William Johnson IV
• Kenneth Ralph Johnson, P.T.
• Lisa M Johnson, PPS
• Patricia Lynn Johnson, PHD

• Mental Health Counselor in Martinez, CA
• Providers in Martinez, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.