1. Home
  2. Directory
  3. California
  4. Bermuda Dunes
  5. Counselor
  6. NPI Profile

SCOTT CHARLES JOHNSON LAC RADT-1
NPI 1033630033
Counselor - Addiction (Substance Use Disorder) in Bermuda Dunes, CA

Active since June 29, 2017
40853 CECINA WAY, BERMUDA DUNES, CA 92203 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2020, Jun 29, 2017 (2 updates tracked since 2017).

About Scott Charles Johnson Lac Radt-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT CHARLES JOHNSON LAC RADT-1 (NPI 1033630033) is an individual addiction (substance use disorder) provider in Bermuda Dunes, California, licensed in North Dakota (1305) and active in the NPI registry since June 2017. He maintains a secondary practice location in Desert Hot Springs.

NPPES Registry Identity

NPI1033630033
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT CHARLES JOHNSONCredential: LAC RADT-1
Location Address40853 CECINA WAYBermuda Dunes, CA 92203-1171
Mailing Address40853 Cecina WayBermuda Dunes, CA 92203-1171 · 17604063646
Phone17604063646
Sole ProprietorYes
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 24, 20202 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
✔ NPI 1033630033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1305
40853 CECINA WAY, Bermuda Dunes, CA 92203
Open in Google Maps ↗

Secondary Practice Location 1

Location 17885 Annandale AveDesert Hot Springs, CA 92240-1419 · Phone (760) 329-2924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Johnson's NPI number?

The NPI number for Scott Johnson is 1033630033. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Scott Johnson located?

Scott Johnson practices at 40853 Cecina Way, Bermuda Dunes, CA 92203. The listed phone number is (760) 406-3646.

What is Scott Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Johnson was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.