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MR. TIMOTHY JOHNSON SR. BACHELOR OF PSYCHOLO
NPI 1891393708
Counselor - Mental Health in Chesterfield, SC

Active since October 13, 2020
207 PERRY WILEY WAY, CHESTERFIELD, SC 29709(843) 423-8292(843) 423-8294 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2022, Oct 13, 2020 (2 updates tracked since 2020).

About Mr. Timothy Johnson Sr. Bachelor Of Psycholo NPPES

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

MR. TIMOTHY JOHNSON SR. BACHELOR OF PSYCHOLO (NPI 1891393708) is an individual mental health provider in Chesterfield, South Carolina and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1891393708
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TIMOTHY JOHNSON SR.Credential: BACHELOR OF PSYCHOLO
Location Address207 PERRY WILEY WAYChesterfield, SC 29709
Mailing AddressPo Box 918Bennettsville, SC 29512 · (843) 544-4060 · Fax (843) 454-0635
Phone(843) 423-8292
Fax(843) 423-8294
Sole ProprietorNo
Enumeration DateOctober 13, 2020
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1891393708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
207 PERRY WILEY WAY, Chesterfield, SC 29709
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Other Identifiers 2

Medicaid405127SC
Medicaid251S00000XSC

Other Providers at the Same Location NPPES 7

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

SHAKEANMA MCDOUGALD
Counselor
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-2229
MRS. TAMMY EVETTE CRAWFORD MS
Counselor (Mental Health)
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 622-2229
MR. CASHION RIVERS
Counselor
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-2229
MRS. MONICA NJOKU
Counselor (Mental Health)
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-2229
ANDREA JEAN HORN MSW
Counselor
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 544-4060
MR. LUCAS EUGENE TOLSON III LPC
Counselor
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-2229
JAMEKA RENEE MOSES
Counselor (Mental Health)
207 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-2229

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 Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1891393708. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Timothy Johnson located?

Timothy Johnson practices at 207 Perry Wiley Way, Chesterfield, SC 29709. The listed phone number is (843) 423-8292.

What is Timothy Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.