MR. ODELL JOHNSON
NPI 1609254416
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Q: What is Odell Johnson's NPI number?

The NPI number for Odell Johnson is 1609254416. It was assigned to this individual provider in the NPPES registry on May 13, 2015. The provider is also known as Mr. Odell Johnson M.A..

Q: What is Odell Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Odell Johnson was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 13, 2015

1150 N. 4TH ST, SAN JOSE, CA 95112(650) 995-6589 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Odell Johnson NPPES

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

MR. ODELL JOHNSON (NPI 1609254416) is an individual addiction (substance use disorder) provider in San Jose, California and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1609254416

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. ODELL JOHNSON

Location Address1150 N. 4TH STSan Jose, CA 95112

Mailing Address75 Perry St Apt 111Redwood City, CA 94063-1542 · (650) 995-6589

Phone(650) 995-6589

Sole ProprietorYes

Enumeration DateMay 13, 2015

✔ NPI 1609254416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

1150 N. 4TH ST, San Jose, CA 95112

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Other Names 1

Professional Name (2)Mr. Odell Johnson M.a.

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 Odell Johnson's NPI number?

The NPI number for Odell Johnson is 1609254416. It was assigned to this individual provider in the NPPES registry on May 13, 2015. The provider is also known as Mr. Odell Johnson M.A..

Where is Odell Johnson located?

Odell Johnson practices at 1150 N. 4th St, San Jose, CA 95112. The listed phone number is (650) 995-6589.

What is Odell 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 Odell Johnson was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.