DEMETRIUS DE'SHON JOHNSON
NPI 1093422180
Counselor in Las Veas, NV

Q: What is Demetrius Johnson's NPI number?

The NPI number for Demetrius Johnson is 1093422180. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Q: What is Demetrius Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Demetrius Johnson was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 31, 2022

255 SANDS AVE, 2515 S BRUCE ST, LAS VEAS, NV 89169(602) 704-6917 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Demetrius De'shon Johnson NPPES

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

DEMETRIUS DE'SHON JOHNSON (NPI 1093422180) is an individual counselor in Las Veas, Nevada and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1093422180

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameDEMETRIUS DE'SHON JOHNSON

Location Address255 SANDS AVE, 2515 S BRUCE STLas Veas, NV 89169

Mailing Address2515 S Bruce StLas Vegas, NV 89169-1773 · (602) 704-6917

Phone(602) 704-6917

Sole ProprietorYes

Enumeration DateOctober 31, 2022

NPPES CertifiedOctober 28, 2022

✔ NPI 1093422180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

255 SANDS AVE, Las Veas, NV 89169

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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 Demetrius Johnson's NPI number?

The NPI number for Demetrius Johnson is 1093422180. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Demetrius Johnson located?

Demetrius Johnson practices at 255 Sands Ave 2515 S Bruce St, Las Veas, NV 89169. The listed phone number is (602) 704-6917.

What is Demetrius Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Demetrius Johnson was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.