BOBBY ALLEN JOHNSON
NPI 1194499186
Peer Specialist in Ponca City, OK

Q: What is Bobby Johnson's NPI number?

The NPI number for Bobby Johnson is 1194499186. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Bobby Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bobby Johnson was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2021

2225 N UNION ST, PONCA CITY, OK 74601(580) 749-5056 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bobby Allen Johnson NPPES

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

BOBBY ALLEN JOHNSON (NPI 1194499186) is an individual peer specialist in Ponca City, Oklahoma and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1194499186

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameBOBBY ALLEN JOHNSON

Location Address2225 N UNION STPonca City, OK 74601-1555

Mailing Address2225 N Union StPonca City, OK 74601-1555 · (580) 749-5056

Phone(580) 749-5056

Sole ProprietorNo

Enumeration DateAugust 4, 2021

NPPES CertifiedAugust 4, 2021

✔ NPI 1194499186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

2225 N UNION ST, Ponca City, OK 74601

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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.

BRIANNA JADE MORRISON

Case Manager/Care Coordinator