MEDICARE: DANIKA JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5021	NV

General Provider Information

NPI Number	:	1538675939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIKA JOHNSON

Provider Business Mailing Address
First Line	:	10137 CHASEWOOD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5555
Country	:	US
Telephone Number	:	702-907-1158
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 N GREEN VALLEY PKWY STE 101D
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2158
Country	:	US
Telephone Number	:	702-508-5920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	09/21/2021

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Directions to “ DANIKA JOHNSON ” Practice Location

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