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KEITH MICHAEL JOHNSON C.A.S.A.C.
NPI 1780937821
Counselor - Addiction (Substance Use Disorder) in Jamaica, NY

Active since October 25, 2012
16812 127TH AVE, APT # 7E, JAMAICA, NY 11434(347) 466-0698 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Michael Johnson C.a.s.a.c. NPPES

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

KEITH MICHAEL JOHNSON C.A.S.A.C. (NPI 1780937821) is an individual addiction (substance use disorder) provider in Jamaica, New York and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1780937821
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH MICHAEL JOHNSONCredential: C.A.S.A.C.
Location Address16812 127TH AVE, APT # 7EJamaica, NY 11434-3152
Mailing Address16812 127th Ave, Apt # 7eJamaica, NY 11434-3152 · (347) 466-0698
Phone(347) 466-0698
Sole ProprietorYes
Enumeration DateOctober 25, 2012
✔ NPI 1780937821 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
16812 127TH AVE, Jamaica, NY 11434
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Other Identifiers 1

Other12777NY · C.a.s.a.c.

Other Providers at the Same Location NPPES 2

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

BLESSING OWOEYE
Early Intervention Provider Agency
16812 127TH AVE, APT # 6A
JAMAICA, NY 11434
Queens County (718) 734-7046
JENNY ETIENNE HHA
Technician, Other
16812 127TH AVE
JAMAICA, NY 11434
Queens County (917) 600-9618

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 Keith Johnson's NPI number?

The NPI number for Keith Johnson is 1780937821. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Keith Johnson located?

Keith Johnson practices at 16812 127th Ave Apt # 7E, Jamaica, NY 11434. The listed phone number is (347) 466-0698.

What is Keith 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 Keith Johnson was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.