Richard E. Johnson Jr.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2030 Kipling Dr
Dayton, OH 45406-3822

Phone

(937) 991-0047

NPI assigned

Sep 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dee'S Place

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1588379465
  NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1932986775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 KIPLING DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454063822",
            "telephone_number": "937-991-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 KIPLING DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454063822",
            "telephone_number": "937-991-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Olga Johnson
• Raschonda Lynn Johnson
• Rebecca Johnson, CDCA
• Rebecca Joy Russo Johnson, LISW
• Rebekah Johnson
• Samantha Johnson, CDCA/PEER SUPPORT
• Savannah Marie Johnson
• Shawanda L Johnson
• Shereca Johnson
• Shirley Ann Johnson, OHIO LICDC-CSAND LSW

• Community/Behavioral Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.