Pamblet Smith Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3013 Cresswell Rd
North Chesterfield, VA 23237-3459

Phone

(804) 218-5649

NPI assigned

Aug 24, 2021

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

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.

• Supportive Family Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Victoria, VA
  • NPI 1295295160
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1164199675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 CRESSWELL RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373459",
            "telephone_number": "804-218-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 CRESSWELL RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373459",
            "telephone_number": "804-218-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMBLET",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan A Johnson, M.D.
• Chanel Renee Johnson
• Latarsha Nicole Johnson, HAIR LOSS SPECIALIST
• Melissa Johnson, LCSW
• Michael Anthony Johnson, CSAC
• Sasha B Johnson, LPC
• Tiffanie Ellis Johnson, M.ED, BCBA, LBA
• Diamond Johnston
• Jolly Hands Home Care LLC
• Angel Jones

• Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.