MR. WILLIE JAMES JOHNSON
NPI 1386157782
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since November 08, 2017
17270 ROOSEVELT ST, RIVERSIDE, CA 92508(951) 683-6596 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2023, Nov 8, 2017 (2 updates tracked since 2017).

About Mr. Willie James Johnson NPPES

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

MR. WILLIE JAMES JOHNSON (NPI 1386157782) is an individual addiction (substance use disorder) provider in Riverside, California and active in the NPI registry since November 2017. He maintains a secondary practice location in San Jacinto.

NPPES Registry Identity

NPI1386157782
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. WILLIE JAMES JOHNSON
Location Address17270 ROOSEVELT STRiverside, CA 92508-9523
Mailing Address5870 Arlington AveRiverside, CA 92504-2037 · (951) 683-6596
Sole ProprietorNo
Enumeration DateNovember 8, 2017
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1386157782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
17270 ROOSEVELT ST, Riverside, CA 92508

Secondary Practice Location 1

Location 11604 S Santa Fe AveSan Jacinto, CA 92583-5062 · Phone (951) 295-6897

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.

Licensed Psychiatric Technician
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Addiction (Substance Use Disorder))
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Addiction (Substance Use Disorder))
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Professional)
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Addiction (Substance Use Disorder))
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Addiction (Substance Use Disorder))
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Counselor (Addiction (Substance Use Disorder))
17270 ROOSEVELT ST
RIVERSIDE, CA 92508
Licensed Psychiatric Technician
17270 ROOSEVELT ST
RIVERSIDE, CA 92508

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 Willie Johnson's NPI number?

The NPI number for Willie Johnson is 1386157782. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Willie Johnson located?

Willie Johnson practices at 17270 Roosevelt St, Riverside, CA 92508. The listed phone number is (951) 683-6596.

What is Willie 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 Willie Johnson was last updated on March 13, 2023. 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.