1. Home
  2. Directory
  3. California
  4. San Diego
  5. Counselor
  6. NPI Profile

NICOLE S. JOHNSON
NPI 1639604176
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since April 21, 2017
3767 CENTRAL AVE, SAN DIEGO, CA 92105(619) 523-8121 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2019, Apr 21, 2017 (2 updates tracked since 2017).

About Nicole S. Johnson NPPES

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

NICOLE S. JOHNSON (NPI 1639604176) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (A059100121) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1639604176
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE S. JOHNSON
Location Address3767 CENTRAL AVESan Diego, CA 92105-2506
Mailing Address3767 Central AveSan Diego, CA 92105-2506
Phone(619) 523-8121
Sole ProprietorNo
Enumeration DateApril 21, 2017
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1639604176 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
License✔ Licensed in CA · A059100121
3767 CENTRAL AVE, San Diego, CA 92105
Open in Google Maps ↗

Other Identifiers 1

Medicaid373781CA

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.

LOUIE ORIEL MISAGAL JR.
Counselor (Addiction (Substance Use Disorder))
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-4010
STEPPING STONE OF SAN DIEGO, INC.
Substance Abuse Rehabilitation Facility
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-4010
MS. VIVIEN LEE-DAVID
Counselor (Addiction (Substance Use Disorder))
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-4010
BRIEL KAELA PIKAL
Student in an Organized Health Care Education/Training Program
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 278-0777
EDGAR JIA HOTARD
Counselor (Mental Health)
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 278-0777
CHARLES TOWNSEND
Counselor (Addiction (Substance Use Disorder))
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 278-0777
MR. DANIEL KARZI
Marriage & Family Therapist
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 278-0777
SANDRA M KOELLMANN ASW
Social Worker (Clinical)
3767 CENTRAL AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-4010

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 1639604176. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Nicole Johnson located?

Nicole Johnson practices at 3767 Central Ave, San Diego, CA 92105. The listed phone number is (619) 523-8121.

What is Nicole 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 Nicole Johnson was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.