Active NPI
Maria Dyan Johnson, MSW, LISW-S,ACHP-SW
- Professional Counselor
- Granville, OH
National Provider Identifier
1760927966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- I1451084
- Practice address
- 941 River Rd Ste B
Granville, OH 43023-9534 - Phone
- (740) 587-1543
- NPI assigned
- Dec 23, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | I1451084 | OH | Primary |
Addresses
Primary practice location
941 River Rd Ste B
Granville, OH 43023-9534
Mailing address
6315 Winterwood Dr
Nashport, OH 43830-9740
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 |
|---|---|---|---|
| I1451084 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Barkett, Psy.D LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1760927966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6315 WINTERWOOD DR",
"city": "NASHPORT",
"state": "OH",
"postal_code": "438309740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 RIVER RD STE B",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239534",
"telephone_number": "740-587-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARIA",
"middle_name": "DYAN",
"credential": "MSW, LISW-S,ACHP-SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-23",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "I1451084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.