Marley Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

78638

Practice address

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Phone

(225) 261-7143

Fax

(225) 250-1046

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1124506720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 APPLEWOOD RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Westway Pl",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760185245",
            "country_code": "US",
            "telephone_number": "817-516-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "78638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makalia Carol Semone Johnson, B.S.
• Malyjah Johnson
• Margan Johnson
• Mariah Johnson, PHARMD
• Markeith Johnson
• Megan Alysse Johnson, O.D.
• Mekhi Johnson
• Mellissa Johnson, M.ED., BCBA
• Michael Everett Johnson, MD
• Miranda Johnson

• Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.