GABRIEL BLAKE JOHNSON
NPI 1962271155
Peer Specialist in Tahlequah, OK

Active since December 28, 2023
214 N BLISS AVE, TAHLEQUAH, OK 74464(539) 234-3785 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriel Blake Johnson NPPES

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

GABRIEL BLAKE JOHNSON (NPI 1962271155) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1962271155
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGABRIEL BLAKE JOHNSON
Location Address214 N BLISS AVETahlequah, OK 74464-2520
Mailing Address214 N Bliss AveTahlequah, OK 74464-2520 · (539) 234-3785
Sole ProprietorYes
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1962271155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
214 N BLISS AVE, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 4

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

Peer Specialist
214 N BLISS AVE
TAHLEQUAH, OK 74464
Peer Specialist
214 N BLISS AVE
TAHLEQUAH, OK 74464
Peer Specialist
214 N BLISS AVE
TAHLEQUAH, OK 74464
Peer Specialist
214 N BLISS AVE
TAHLEQUAH, OK 74464

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 Gabriel Johnson's NPI number?

The NPI number for Gabriel Johnson is 1962271155. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Gabriel Johnson located?

Gabriel Johnson practices at 214 N Bliss Ave, Tahlequah, OK 74464. The listed phone number is (539) 234-3785.

What is Gabriel Johnson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Gabriel Johnson was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.