Active NPI
Barbara Johnson-Tow, BSW CDC I
- Addiction (Substance Use Disorder) Counselor
- Wasilla, AK
National Provider Identifier
1760044077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4398
- Practice address
- 2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373 - Phone
- (907) 290-3760
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4398 | AK | Primary |
Addresses
Primary practice location
2521 E Mountain Village Dr Ste F
Wasilla, AK 99654-7373
Mailing address
1786 E Neil Cir Apt 1
Wasilla, AK 99654-8240
Phone (907) 414-0191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4398 | AK | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1760044077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 E NEIL CIR APT 1",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548240",
"telephone_number": "907-414-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 E MOUNTAIN VILLAGE DR STE F",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547373",
"telephone_number": "907-290-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-TOW",
"first_name": "BARBARA",
"credential": "BSW CDC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "4398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.