Marilyn Johnson, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9245 Wallace Lake Rd Ste a
Shreveport, LA 71106

Phone

(318) 510-2188

NPI assigned

Feb 6, 2017

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

Credentials

Master of Science

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.

• Fresh Start East Texas Counseling Services

  • Case Management Agency
  • Marshall, TX
  • NPI 1083263677
  NPD Authorized official
• Fresh Start East Texas Counseling Services

  • Community/Behavioral Health Agency
  • Marshall, TX
  • NPI 1801400726
  NPD Authorized official
• Creative Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1699142026
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1184162554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 WALLACE LAKE RD STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067331",
            "telephone_number": "318-221-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 WALLACE LAKE RD STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-510-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W 79th St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711064819",
            "country_code": "US",
            "telephone_number": "318-688-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARILYN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levett Johnson
• Linda Johnson
• Lisa Diane Johnson
• Lori R Johnson, MD
• Lydia Johnson
• Marisa Johnson, MD
• Marlaysha Rae'Nae Johnson, B.S
• Marsha Johnson
• Martinez Johnson, MHS
• Megan O'Dell Johnson

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.