MEDICARE: LARAJANAE 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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1487346995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARAJANAE JOHNSON

Provider Business Mailing Address
First Line	:	10305 RUNNYMEDE AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2216
Country	:	US
Telephone Number	:	216-526-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	10305 RUNNYMEDE AVE
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2216
Country	:	US
Telephone Number	:	216-526-9822
Fax Number	:

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

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	05/23/2023

Similar Medicare Providers

1013986389 — DVA HEALTHCARE RENAL CARE, INC.
Practice Location Address:

821 LINCOLN HWY
FAIRVIEW HEIGHTS, IL
62208-2216

Practice Phone: 618-632-9550
Practice Fax: 618-632-8903

1174763213 — HHCS, INC.
Practice Location Address:

230 ALPHA PARK
HIGHLAND HEIGHTS, OH
44143-2216

Practice Phone: 440-442-1115
Practice Fax: 440-442-1191

1922326214 — MRS. KERRI LYNN VALENTINE M.S. OTR/L
Practice Location Address:

8 SOMERSTON RD
YORKTOWN HEIGHTS, NY
10598-2216

Practice Phone: 267-408-6753
Practice Fax:

1114484300 — BACK ON TRACK CHILDRENS THERAPY SERVICES
Practice Location Address:

8 SOMERSTON RD
YORKTOWN HEIGHTS, NY
10598-2216

Practice Phone: 267-408-6753
Practice Fax:

1164036331 — ARACELI RUBY VEGA
Practice Location Address:

6427 MAYBURN ST
DEARBORN HEIGHTS, MI
48127-2216

Practice Phone: 773-587-4721
Practice Fax:

1952918724 — ANNA VARGHESE MA, NCC
Practice Location Address:

1402 SILVERTON PL
RICHMOND HEIGHTS, MO
63117-2216

Practice Phone: 618-973-4863
Practice Fax:

Directions to “ LARAJANAE JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.