NICOLE RENEE JOHNSON
NPI 1407414709
Peer Specialist in Longview, WA

Q: What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1407414709. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Nicole 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 Nicole Johnson was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 31, 2019

1338 COMMERCE AVE STE 303, LONGVIEW, WA 98632(360) 261-6930 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Renee Johnson NPPES

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

NICOLE RENEE JOHNSON (NPI 1407414709) is an individual peer specialist in Longview, Washington, licensed in Washington (CG60971822) and active in the NPI registry since May 2019. She maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1407414709

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameNICOLE RENEE JOHNSON

Location Address1338 COMMERCE AVE STE 303Longview, WA 98632-3726

Mailing AddressPo Box 1447Chehalis, WA 98532-0378 · (360) 261-6930

Phone(360) 261-6930

Sole ProprietorNo

Enumeration DateMay 31, 2019

✔ NPI 1407414709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · CG60971822

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.

1338 COMMERCE AVE STE 303, Longview, WA 98632

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Secondary Practice Location 1

Location 11338 Commerce Ave Ste 303Longview, WA 98632-3726 · Phone (360) 261-6930

Other Providers at the Same Location NPPES 3

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

STEPHANIE RAE BARTELL LPN

Licensed Practical Nurse

1338 COMMERCE AVE STE 303
LONGVIEW, WA 98632

Cowlitz County (360) 999-7749

MR. JAMES ROBERT HERRON III AAC

Counselor

1338 COMMERCE AVE STE 303
LONGVIEW, WA 98632

Cowlitz County (360) 878-2219

JUDY ARLENE MARSYLA RN

Registered Nurse (Psychiatric/Mental Health, Adult)

1338 COMMERCE AVE STE 303
LONGVIEW, WA 98632

Cowlitz County (360) 748-4480

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1407414709. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Nicole Johnson located?

Nicole Johnson practices at 1338 Commerce Ave Ste 303, Longview, WA 98632. The listed phone number is (360) 261-6930.

What is Nicole Johnson'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 Nicole Johnson was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.