| Shannon Johnson Llc | |
|
1551 Sturdy Rd Ste 3 Valparaiso IN 46383-7829 | |
| (219) 531-0111 | |
| (219) 224-4133 |
| Full Name | Shannon Johnson Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1551 Sturdy Rd Ste 3, Valparaiso, Indiana |
| Authorized Official Name and Position | Shannon S Johnson (OWNER) |
| Authorized Official Contact | 2195310111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Johnson Llc 1551 Sturdy Rd Ste 3 Valparaiso IN 46383-7829 Ph: (219) 531-0111 | Shannon Johnson Llc 1551 Sturdy Rd Ste 3 Valparaiso IN 46383-7829 Ph: (219) 531-0111 |
| NPI Number | 1295326064 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 5294173522 |
|---|---|
| Medicare Enrollment ID | O20240405002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295326064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Irene Ortiz Verduzco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275997504 PECOS PAC ID: 6507155819 Enrollment ID: I20160510000581 |
| Provider Name | Shannon Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972859478 PECOS PAC ID: 6103264437 Enrollment ID: I20240405002243 |
| Provider Name | Kimberly Hart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972197200 PECOS PAC ID: 0941641344 Enrollment ID: I20240516001803 |
Zachary Burns, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Morgan Blvd, Valparaiso, IN 46383 Phone: 219-916-2521 Fax: 219-462-4741 | |
Hart Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 W Marrew Pl, Valparaiso, IN 46383 Phone: 219-476-5809 | |
Comprehensive Neurology Care, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Wall St Ste 104, Valparaiso, IN 46383 Phone: 219-531-6571 | |
Neurology Associates Of Northwest Indiana, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-548-0235 Fax: 219-548-8366 | |
Gerald Lewis Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3000 Murvihill Rd, Valparaiso, IN 46383 Phone: 219-286-3907 Fax: 219-286-3911 | |
New Beginnings Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 793-1 Juniper Rd, Valparaiso, IN 46385 Phone: 219-203-2343 | |
Nzinga Mind And Heart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Washington St Ste 300, Valparaiso, IN 46383 Phone: 866-220-0238 Fax: 866-220-0238 |