Eric Richard Johnson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LH00003649 Issued in WA

Legal business name

ERIC RICHARD JOHNSON

Practice address

1330A S 2ND St Ste 102
Mount Vernon, WA 98273-4822

Phone

(360) 770-8487

Fax

(360) 336-3315

NPI assigned

Feb 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric R Johnson, M.S.NPI 1932194800

Title

Owner

Phone

(360) 770-8487

Specialties & licenses 1

Addresses

Other names 1

• A Professional Association Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric R Johnson, M.S.

  • Mental Health Counselor
  • Mount Vernon, WA
  • NPI 1932194800
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1851427694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330A S 2ND ST STE 102",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734822",
            "telephone_number": "360-770-8487",
            "fax_number": "360-336-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330A S 2ND ST STE 102",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734822",
            "telephone_number": "360-770-8487",
            "fax_number": "360-336-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC RICHARD JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-770-8487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH00003649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Professional Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Marie Enghauser, PA-C
• Shea Bradley English, SUDPT
• Cheryl Ensing, LAC
• John W Erbstoeszer, MD
• Notie Andrea Iyen Erhahon, M.D
• Jordan Lee Erickson, PHARMACIST
• Stephen Andrew Erickson, RPH
• Michael N. Erie, MD
• Nicole Marie Ervin, MHCA.MC.70119748
• Emilie Anne Escobar, SUDPT

• Community/Behavioral Health Agency in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.