Antonio N Johnson, CPSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

957 Issued in NM

Practice address

3301 Los Arboles Ave NE
Albuquerque, NM 87107-1943

Phone

(505) 800-7092

NPI assigned

Jul 30, 2020

Sex

Male

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

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.

• Courageous Transformations, Inc

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1568838795
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1134738651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LOS ARBOLES AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071943",
            "telephone_number": "505-800-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LOS ARBOLES AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071943",
            "telephone_number": "505-800-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTONIO",
        "middle_name": "N",
        "credential": "CPSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Johnson
• Amanda Lynn Johnson, ACNP
• Amani Johnson
• Amber Johnson
• Andrea Johnson, MSW, DSIII
• Ashley Johnson
• Blake Emil Johnson, PHARM.D.
• Bradley Johnson, PA-C
• Brian Johnson, MD
• Brianna Johnson

• Peer Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.