Hilary M Johnson, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Middleport, OH
NPI 1154892776 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1154892776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 167484 (OH)
- Practice address
- 788 N 2ND Ave Ste a
Middleport, OH 45760-1014 - Phone
- (740) 992-3965
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167484 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 167484 | OH | Yes |
Addresses
Primary practice location
788 N 2ND Ave Ste a
Middleport, OH 45760-1014
Mailing address
788 N 2ND Ave Ste a
Middleport, OH 45760-1014
Phone (740) 992-3965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167484 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1154892776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N 2ND AVE STE A",
"city": "MIDDLEPORT",
"state": "OH",
"postal_code": "457601014",
"telephone_number": "740-992-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 N 2ND AVE STE A",
"city": "MIDDLEPORT",
"state": "OH",
"postal_code": "457601014",
"telephone_number": "740-992-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HILARY",
"middle_name": "M",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "167484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167484",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middleport, OH
- Krystin Dailey
- Crystal Lee Felts
- Kelin Elizabeth Gillispie
- Tammy Gray
- Emily L Griffin
- Kathy Lemley
- Kendall M Lemley
- M.C. & Jyoti Shah Inc.
- Meigs Chiropractic LTD
- Meigs County Care Center, LLC
All providers in Middleport, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.