Active NPI
Davina Johnson, CDCA
- Addiction (Substance Use Disorder) Counselor
- Franklin Furnace, OH
National Provider Identifier
1205349859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 021052
- Practice address
- 4578 Gallia Pike
Franklin Furnace, OH 45629-8600 - Phone
- (740) 351-0008
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 021052 | OH | Primary |
| Mental Health Counselor | 101YM0800X | QMHS | OH |
Addresses
Primary practice location
4578 Gallia Pike
Franklin Furnace, OH 45629-8600
Mailing address
923 Findlay St
Portsmouth, OH 45662-4148
Other practice location 1
411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021052 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| QMHS | OH | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
Interoperability endpoints
- davina.johnson.p1@direct.thecounselingcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543017600000",
"number": "1205349859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 FINDLAY ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4578 GALLIA PIKE",
"city": "FRANKLIN FURNACE",
"state": "OH",
"postal_code": "456298600",
"telephone_number": "740-351-0008"
}
],
"practiceLocations": [
{
"address_1": "411 Court St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456623932",
"country_code": "US",
"telephone_number": "740-354-6685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVINA",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2018-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "021052",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "QMHS",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Furnace, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.