Kamique Michelle Johnson, MHP, PHD is a
Case Manager/care Coordinator based in Wake Village, Texas. Kamique Michelle Johnson is licensed to practice in Louisiana (license number ) and her current practice location is
609 Redwater Rd., Wake Village, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 501-8032.
NPI number for Kamique Michelle Johnson is 1861969735 and her current mailing address is 2927 King Oaks Loop, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861969735.
Healthcare Provider's Profile
| Full Name | Kamique Michelle Johnson |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 609 Redwater Rd., Wake Village, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861969735
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 01/03/2022
Medical Identifiers
Medical identifiers for Kamique Michelle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861969735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamique Michelle Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kamique Michelle Johnson, MHP, PHD
2927 King Oaks Loop,
Shreveport, LA 71107-4224
Ph: (318) 780-2828 | Kamique Michelle Johnson, MHP, PHD
609 Redwater Rd.,
Wake Village, TX 75501-7550
Ph: (903) 501-8032 |
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