NICHOLAUS JOHNSON
NPI 1083116065
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 06, 2018
2130 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 875-0701 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2020, Mar 6, 2018 (2 updates tracked since 2018).

About Nicholaus Johnson NPPES

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

NICHOLAUS JOHNSON (NPI 1083116065) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2018. The provider maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083116065
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameNICHOLAUS JOHNSON
Location Address2130 STOCKTON BLVDSacramento, CA 95817-1337
Mailing Address6509 21st AveSacramento, CA 95820-5842 · (916) 274-1727
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1083116065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R1264810917 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2130 STOCKTON BLVD, Sacramento, CA 95817

Secondary Practice Locations 2

Location 1401 S StSacramento, CA 95811-6919 · Phone (916) 274-1727
Location 21820 J StSacramento, CA 95811-3010 · Phone (916) 313-8434

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Social Worker
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Clinic/Center (Adult Mental Health)
2130 STOCKTON BLVD, BUILDINGS 100, 200
SACRAMENTO, CA 95817
Social Worker (Clinical)
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Marriage & Family Therapist
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2130 STOCKTON BLVD
SACRAMENTO, CA 95817
Community/Behavioral Health
2130 STOCKTON BLVD, BUILDING 100
SACRAMENTO, CA 95817

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 Nicholaus Johnson's NPI number?

The NPI number for Nicholaus Johnson is 1083116065. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Nicholaus Johnson located?

Nicholaus Johnson practices at 2130 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 875-0701.

What is Nicholaus Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholaus Johnson was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.