Cindy Johnson LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW16958 Issued in AZ

Legal business name

CINDY JOHNSON LLC

Practice address

1735 E Fort Lowell Rd Ste 11
Tucson, AZ 85719-2358

Phone

(608) 556-7244

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Peterson

Title

Billing Coordinator

Phone

(520) 441-4754

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1528565595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 11",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "608-556-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 11",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "608-556-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "520-441-4754"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW16958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.