Matthew B Johnson, B.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

319 E Water St
Syracuse, NY 13202-1123

Phone

(315) 475-1771

NPI assigned

Nov 1, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Syracuse Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Syracuse, NY
  • NPI 1609931765
  NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1619684412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 KYPRIOTIS DR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021123",
            "telephone_number": "315-475-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271578278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Johnson
• Kiara Ashley Johnson, LMSW
• Kim Y Johnson, LPN
• Kristen Lee Johnson, FNP
• Lewis W Johnson, MD
• Mika Latoy Johnson, LPN
• Shaliima Johnson
• Stephanie Marie Johnson, PT
• Tristen Johnson, MFT
• Belinda L Johnston, LPN

• Addiction (Substance Use Disorder) Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

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