Jeffery Allan Johnson, CADC-CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C5131214 Issued in CA

Practice address

145 Bost Ave
Nevada City, CA 95959-3249

Phone

(530) 273-9541

NPI assigned

Nov 10, 2016

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granite Wellness Centers

  dba Grass Valley Campus

  • Community/Behavioral Health Agency
  • Grass Valley, CA
  • NPI 1750500237
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1578005393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455768",
            "telephone_number": "530-273-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BOST AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593249",
            "telephone_number": "530-273-9541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Crystal Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Pollock Pines",
            "state": "CA",
            "postal_code": "957269560",
            "country_code": "US",
            "telephone_number": "916-647-1756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Sierra College Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455768",
            "country_code": "US",
            "telephone_number": "530-273-9541 x470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFERY",
        "middle_name": "ALLAN",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C5131214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Muir Charter Schools
• Natalie Johnsen
• Alexandra Johnson, CADC
• Belden Johnson, MFT
• Donna Guyot Johnson
• Joyce Johnson, RDHAP
• Yashi Amita Johnson, MFC20553
• Kendra Jones
• Linda Susan Jovanovic, PH.D.
• Megan Kane

• Addiction (Substance Use Disorder) Counselor in Nevada City, CA
• Providers in Nevada City, 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 Jan 16, 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.