MATTHEW EVAN JOHNSON
NPI 1649738428
Counselor - Addiction (Substance Use Disorder) in Johnston, RI

Q: What is Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1649738428. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Q: What is Matthew 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 Matthew Johnson was last updated on March 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2019

1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100(401) 861-8696 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2019, Mar 11, 2019 (2 updates tracked since 2019).

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About Matthew Evan Johnson NPPES

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

MATTHEW EVAN JOHNSON (NPI 1649738428) is an individual addiction (substance use disorder) provider in Johnston, Rhode Island, licensed in Rhode Island (CDP00775) and active in the NPI registry since March 2019. He maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1649738428

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMATTHEW EVAN JOHNSON

Location Address1443 HARTFORD AVEJohnston, RI 02919

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 273-8100

Fax(401) 861-8696

Sole ProprietorYes

Enumeration DateMarch 11, 2019

Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration

✔ NPI 1649738428 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 RI · CDP00775

1443 HARTFORD AVE, Johnston, RI 02919

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Secondary Practice Location 1

Location 12 Barber AveWarwick, RI 02886-5202 · Phone (401) 574-6688

Other Identifiers 1

OtherCDP00775RI · Lcdp

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.

KAREN GUY RN

Registered Nurse

1443 HARTFORD AVE, GATEWAY HEALTHCARE INC
JOHNSTON, RI 02919

Providence County (401) 273-8700

JENNIFER GORDON RN

Registered Nurse (Psychiatric/Mental Health)