The Johnson Foundation Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

J1006181711 Issued in CA

Legal business name

THE JOHNSON FOUNDATION INC.

Practice address

16755 Hughes Rd
Victorville, CA 92395-4563

Phone

(760) 684-3419

NPI assigned

Feb 13, 2017

Organization subpart

Yes

Parent organization

THE JOHNSON FOUNDATION INC.As reported in NPPES

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

Authorized official

Name

Dr. Samuel Alexander Johnson, DBCNPI 1902357874

Title

Doctor of Behavioral Counseling

Phone

(760) 596-3803

Specialties & licenses 1

Addresses

Other names 1

• The HARP Institute Doing business as

Part of

The Johnson Foundation Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Alexander Johnson, D.B.C, M-RAS, C.S.C

  • Addiction (Substance Use Disorder) Counselor
  • Victorville, CA
  • NPI 1902357874
  NPD (past) Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1336688191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14619 MAVERICK PL",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947082",
            "telephone_number": "760-596-3803",
            "fax_number": "760-596-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16755 HUGHES RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954563",
            "telephone_number": "760-684-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNSON FOUNDATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JOHNSON FOUNDATION INC.",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR OF BEHAVIORAL COUNSELING",
        "authorized_official_telephone_number": "760-596-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "J1006181711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The HARP Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerrick Thacker, MSN APRN FNP-C
• Annie Thai, PHARMD
• Timothy Viet Thai, RPH
• The Gastro Group, Inc.
• The Hope Center Victorville LLC
• The Kindness Club
• The Nerdy Doula LLC
• The Village Community and Family Ervices
• The Way Resource Center
• Lori Rose Theno, MFT INTERN

• Substance Abuse Rehabilitation Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.