Candice Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3375812 Issued in WA

Practice address

515 3Rd Ave
Seattle, WA 98104-2304

Phone

(206) 464-1570

NPI assigned

Sep 25, 2021

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

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1497426753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042304",
            "telephone_number": "206-464-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042304",
            "telephone_number": "206-464-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 S Plum St Ste A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981444539",
            "country_code": "US",
            "telephone_number": "206-441-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "3375812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Johnson
• Brian Johnson, LMP
• Brian Samuel Johnson Jr., RN
• Bryce Vernon Johnson
• Camille Ifland Johnson, MD
• Carol Johnson, RPH
• Charles Richard Johnson, M.D.
• Chenara Alexis Johnson, MD, PHD
• Chloe Johnson
• Chris Douglas Johnson, PA-C

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.