Briana M Johnson, RADTI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1476160722 Issued in CA

Practice address

256 Buena Vista St
Grass Valley, CA 95945-7239

Phone

(530) 274-2000

NPI assigned

Sep 21, 2022

Last updated

Apr 16, 2024By the provider in NPPES

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

Other names 1

• Briana M Underwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1366165680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RADTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1476160722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "UNDERWOOD",
            "middle_name": "M",
            "credential": "RADTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John W. Lace, M.D., Inc.
• Richard Lance Johns
• Adam Johnson
• Amy Johnson
• Amy Danielle Johnson
• Deborah S Johnson
• Donna Johnson
• Jennifer Lyn Johnson
• Kaelin Johnson
• Penelope Rose Johnson

• Addiction (Substance Use Disorder) Counselor in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.