Johnson, Adam

Johnson, Adam is an individual health care provider with primary practice located at 1558 Hayes Dr , Manhattan KS 66502-5068. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Adam can be contacted via phone (785) 587-4315.

Contact Information

Primary practice address
1558 Hayes Dr Manhattan KS 66502-5068
Phone: (785) 587-4315
Fax: (785) 587-4339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 008 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 616 Kansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 7407 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4234 Kansas

Profile Details

NPI number 1144456146
LBN Legal business name Johnson, Adam
Credentials LSCSW, LMAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Feb 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144456146 NPPES
Kansas MEDICAID 200609070A
Kansas Other 11974774

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