Selene Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1242570217 Issued in CA

Practice address

1659 Scott Blvd Ste 30
Santa Clara, CA 95050-4186

Phone

(408) 373-1833

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1841786159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 SCOTT BLVD STE 30",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504186",
            "telephone_number": "408-244-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 SCOTT BLVD STE 30",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504186",
            "telephone_number": "408-373-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1242570217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anagha B. Jog, DMD, DDS
• Prescilla Danielle John
• Zohra John
• Antonio Johnson
• Kelli Andrea Johnson
• Sherry Ann Johnson, MFT
• Trenice Johnson, NP
• Jonathan Davies Rpa-C
• Jonathan James Davies
• Ashli Nicole Jones-Williams, LPC

• Addiction (Substance Use Disorder) Counselor in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.