Individual provider Active NPI

Marie G. Johnston, R.N., L.A.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Waterbury, CT
National Provider Identifier
1235112137
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000399 Issued in CT
Practice address
88 Grandview Ave
Westmain Behavioral Health
Waterbury, CT 06708-2509
Phone
(203) 573-7500
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000399 CT Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X E31451 CT

Addresses

Primary practice location

88 Grandview Ave
Westmain Behavioral Health
Waterbury, CT 06708-2509

Mailing address

17 Sunset Ave
Oakville, CT 06779-2111
Phone (860) 274-5925

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E31451CTMDAddiction (Substance Use Disorder) Registered Nurse
000399CTMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235112137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SUNSET AVE",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067792111",
            "telephone_number": "860-274-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 GRANDVIEW AVE",
            "address_2": "WESTMAIN BEHAVIORAL HEALTH",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082509",
            "telephone_number": "203-573-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARIE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "R.N., L.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000399",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "E31451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.