ROBERT GARY JOHANNSEN
NPI 1134099088
Peer Specialist in Lake Isabella, CA

Active since November 06, 2025
2731 NUGGET AVE, LAKE ISABELLA, CA 93240(760) 379-3412(760) 379-5332 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Gary Johannsen NPPES

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

ROBERT GARY JOHANNSEN (NPI 1134099088) is an individual peer specialist in Lake Isabella, California, licensed in California (MPSS-EKZJXM) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1134099088
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROBERT GARY JOHANNSEN
Location Address2731 NUGGET AVELake Isabella, CA 93240-9456
Mailing Address2731 Nugget AveLake Isabella, CA 93240-9456 · (760) 379-3412 · Fax (760) 379-5332
Fax(760) 379-5332
Sole ProprietorYes
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
NPI 1134099088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-EKZJXM
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2731 NUGGET AVE, Lake Isabella, CA 93240

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
2731 NUGGET AVE, BOX 2632
LAKE ISABELLA, CA 93240
Counselor (Mental Health)
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Case Manager/Care Coordinator
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Counselor (Addiction (Substance Use Disorder))
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Marriage & Family Therapist
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Case Manager/Care Coordinator
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Student in an Organized Health Care Education/Training Program
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Marriage & Family Therapist
2731 NUGGET AVE
LAKE ISABELLA, CA 93240

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 Robert Johannsen's NPI number?

The NPI number for Robert Johannsen is 1134099088. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Robert Johannsen located?

Robert Johannsen practices at 2731 Nugget Ave, Lake Isabella, CA 93240. The listed phone number is (760) 379-3412.

What is Robert Johannsen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Robert Johannsen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.