Active NPI
Doris Osiimwe Johnson, COUNSELOR- HUMAN SE
- Professional Counselor
- Springfield, MA
National Provider Identifier
1972114411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 52 Elaine Cir # 52
Springfield, MA 01109-1205 - NPI assigned
- Aug 10, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
52 Elaine Cir # 52
Springfield, MA 01109-1205
Mailing address
52 Elaine Cir # 52
Springfield, MA 01109-1205
Phone (781) 330-1507
Other practice location 1
52 Elaine Cir # 52
Springfield, MA 01109-1205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001451295 | Other | MA | COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Springfield | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1972114411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 ELAINE CIR # 52",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011091205",
"telephone_number": "781-330-1507",
"fax_number": "617-600-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 ELAINE CIR # 52",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011091205"
}
],
"practiceLocations": [
{
"address_1": "52 Elaine Cir # 52",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011091205",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DORIS",
"middle_name": "OSIIMWE",
"credential": "COUNSELOR- HUMAN SE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR",
"identifier": "001451295",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Springfield",
"affiliation": "N",
"endpointDescription": "Office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "52 Elaine Cir # 52",
"city": "Springfield",
"state": "MA",
"country_code": "US",
"postal_code": "011091205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.