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MRS. GWENDOLYN JOHNSON PHD NPI 1245507946


NPI Information

NPI: 1245507946
Provider Name: MRS. GWENDOLYN JOHNSON, PHD
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
209 W BROADWAY ST
OKEMAH, OK
ZIP 74859
Phone: (918) 623-2922
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MRS. Gwendolyn Johnson, PHD is a community behavioral health in Okemah, OK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MRS. Gwendolyn Johnson, PHD NPI is 1245507946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 W BROADWAY ST
OKEMAH, OK
ZIP 74859-618
Phone: (918) 623-2922
Fax: (918) 756-2126

The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorOKLAHOMANo
2251S00000XCommunity/Behavioral HealthOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BGJ2011MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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