Jeffery Johnson

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

6200-SC Issued in FL

Practice address

10905 N 14TH St
Tampa, FL 33612-5921

Phone

(813) 404-3044

Fax

(813) 754-1659

NPI assigned

Mar 26, 2026

Sex

Male

Sole proprietor

Yes

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.

• The Johnson House Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brandon, FL
  • NPI 1831038587
  NPD Authorized official

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1700725736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ALPINE LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111898",
            "telephone_number": "813-404-3044",
            "fax_number": "813-754-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 N 14TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125921",
            "telephone_number": "813-404-3044",
            "fax_number": "813-754-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFERY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "6200-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie J. Johnson, LCSW,MPH
• Jamie L Johnson, ARNP
• Janet Carol Johnson, ARNP
• Jason Warren Johnson
• Jean Guffey Johnson, M.D,
• Jeffrey Samuel Johnson, MD
• Jennifer M Johnson, MS CCC-SLP
• Joanna Johnson
• John Wesley Johnson
• Juliet Marie Johnson, LCSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.