Yolanda C Johnson-Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6815-C Issued in AR

Practice address

304 Main St
Crossett, AR 71635

Phone

(870) 500-2324

NPI assigned

Sep 10, 2008

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

Other identifiers 2

Other names 1

• Yolanda C Johnson Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resolutions Behavioral Health Service, LLC.Group PAC ID 0547509846, 3 clinicians

Practice addresses (Care Compare)

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.

• Resolutions Behavioral Health Service, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crossett, AR
  • NPI 1992279731

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• At & TC Consultation Services, PLLC

  • Psychiatry Physician
  • Bastrop, LA
  • NPI 1699369991
  NPD
• Perspectives Behavioral Health Management, LLC

  • Psychiatry Physician
  • Barling, AR
  • NPI 1588709646
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1154570521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350971",
            "telephone_number": "870-500-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "71635",
            "telephone_number": "870-500-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "AR",
            "postal_code": "716463225",
            "country_code": "US",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 W Gaines St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716554723",
            "country_code": "US",
            "telephone_number": "870-367-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1652 S Highway 65 82",
            "address_purpose": "LOCATION",
            "city": "Lake Village",
            "state": "AR",
            "postal_code": "716531662",
            "country_code": "US",
            "telephone_number": "870-265-3711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Hope",
            "state": "AR",
            "postal_code": "718015503",
            "country_code": "US",
            "telephone_number": "501-255-0384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 N WASHIINGTON AVE",
            "address_purpose": "LOCATION",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305616",
            "country_code": "US",
            "telephone_number": "870-863-4611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Jefferson St SW",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717013945",
            "country_code": "US",
            "telephone_number": "870-836-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541515",
            "country_code": "US",
            "telephone_number": "870-773-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-MARTIN",
        "first_name": "YOLANDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6815-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227892719",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5CW73",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "JOHNSON",
            "middle_name": "C",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Icarerx, Inc
• Interventions Behavioral Health Service LLC
• James Leonard Workman Jr. PA
• Jefferson Hospital Association, Inc
• Candace Jerry, LMT, RN
• Emily Johnson, RN
• Ruby J Johnson
• Carl Briner Johnston, DDS
• Jana Kelly, LPN
• KH Behavioral Health

• Clinical Social Worker in Crossett, AR
• Providers in Crossett, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.