Active NPI
Willa Mae Johnson-Thurman, CDCA
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1831776376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.175774
- Practice address
- 3433 Agler Rd Ste 2100
Columbus, OH 43219-3389 - Phone
- (614) 599-6869
- Fax
- (614) 413-3464
- NPI assigned
- Mar 29, 2021
- 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 | CDCA.175774 | OH | Primary |
Addresses
Primary practice location
3433 Agler Rd Ste 2100
Columbus, OH 43219-3389
Mailing address
3433 Agler Rd Ste 2100
Columbus, OH 43219-3389
Phone (614) 599-6869
Other practice location 1
1570 Cleveland Ave
Columbus, OH 43211-2755
Phone (614) 599-6869
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Willa.Thurman@TheMightyAcornCounseling.com | Direct |
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 |
|---|---|---|---|
| CDCA.175774 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1831776376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 AGLER RD STE 2100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193389",
"telephone_number": "614-599-6869",
"fax_number": "614-413-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 AGLER RD STE 2100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432193389",
"telephone_number": "614-599-6869",
"fax_number": "614-413-3464"
}
],
"practiceLocations": [
{
"address_1": "1570 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432112755",
"country_code": "US",
"telephone_number": "614-599-6869",
"fax_number": "614-413-3464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-THURMAN",
"first_name": "WILLA",
"middle_name": "MAE",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.175774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Willa.Thurman@TheMightyAcornCounseling.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text",
"address_1": "3433 Agler Rd Ste 2100",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432193389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.