Daisha Johnson, CDCA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

809 W Vine St
Lima, OH 45804-1054

Phone

(419) 222-4474

Fax

(419) 222-7044

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1366825697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 EDGEWOOD DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051013",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W VINE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041054",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAISHA",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "1366825697",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366825697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Archer OD & Assoc Inc
• Susan John, MD
• Robert A. Johns, LCPED
• Amanda Johnson, CDCA
• Courtny Johnson
• Darion Johnson, CDCA
• Frank M. Johnson, LICDC-CS
• Joseph Johnson
• Kevin L Johnson
• Latonda Johnson

• Case Management Agency in Lima, OH
• Providers in Lima, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.