Healthcare Provider Details

I. General information

NPI: 1497401582
Provider Name (Legal Business Name): TERI JOHNSON TRAINING CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2022
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21539 E PUESTA DEL SOL
QUEEN CREEK AZ
85142-7025
US

IV. Provider business mailing address

21539 E PUESTA DEL SOL
QUEEN CREEK AZ
85142-7025
US

V. Phone/Fax

Practice location:
  • Phone: 480-221-4311
  • Fax:
Mailing address:
  • Phone: 480-221-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERESA B JOHNSON
Title or Position: PRESIDENT/CEO
Credential: MS, LPC
Phone: 480-221-4311