Porsche T Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-16824 Issued in AZ

Practice address

17505 N 79TH Ave Ste 410
Glendale, AZ 85308-8732

Phone

(623) 800-7980

NPI assigned

May 31, 2018

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.

• Surge Points LLC

  • Counselor
  • Glendale, AZ
  • NPI 1619428356
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1154813558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 N 73RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353253",
            "telephone_number": "602-314-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 410",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088732",
            "telephone_number": "623-800-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PORSCHE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-16824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey N Johnson, DO
• Margaret Yvonne Johnson
• Olivia Johnson
• Patrick Johnson, RPH
• Peggy Lee Johnson IV
• Robert L Johnson, M.D.
• Ross J Johnson
• Rukiyyah Johnson, RBT
• Samantha Johnson
• Samuel F Johnson, D.O.

• Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.