Active NPI
Olympia Johnson
- Mental Health Counselor
- Strongsville, OH
National Provider Identifier
1851718613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- QMHS
- Practice address
- 20684 Pembrooke Oval
Strongsville, OH 44149-0953 - Phone
- (440) 503-6515
- NPI assigned
- Mar 18, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | QMHS | OH | Primary |
Addresses
Primary practice location
20684 Pembrooke Oval
Strongsville, OH 44149-0953
Mailing address
22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone (216) 320-8373
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 |
|---|---|---|---|
| QMHS | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1851718613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22001 FAIRMOUNT BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441184819",
"telephone_number": "216-320-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20684 PEMBROOKE OVAL",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441490953",
"telephone_number": "440-503-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "OLYMPIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "QMHS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.