Samuel Alexander Johnson, D.B.C, M-RAS, C.S.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

J1006181711 Issued in CA

Practice address

16755 Hughes Rd
Victorville, CA 92395-4563

Phone

(760) 684-3419

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• The Johnson Foundation Inc.

  dba The HARP Institute

  • Substance Abuse Rehabilitation Facility
  • Victorville, CA
  • NPI 1336688191
  NPD (past) Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1902357874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14619 MAVERICK PL",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947082",
            "telephone_number": "760-684-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16755 HUGHES RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954563",
            "telephone_number": "760-684-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMUEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.B.C, M-RAS, C.S.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "J1006181711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Jo Johnson
• John Richard Johnson
• Lakesha Joy Johnson
• Nyshia Navonne Johnson, LCSW
• Ralph Earl Johnson Jr.
• Bhavleen Jolly, O.D.
• Beverly Jones
• Charles Ethian Jones
• David Michael Jones
• Dayveon Jones

• Addiction (Substance Use Disorder) Counselor in Victorville, CA
• Providers in Victorville, 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 Jan 18, 2017; 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.