Matthew Johnson, MA, MDIV - Counselor in Kodak, TN

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Matthew Johnson, MA, MDIV is a Counselor - Addiction (substance Use Disorder) based in Kodak, Tennessee. Matthew Johnson is licensed to practice in Tennessee (license number ) and his current practice location is 2450 Winfield Dunn Pkwy, Kodak, Tennessee. He can be reached at his office (for appointments etc.) via phone at (865) 805-0567.

NPI number for Matthew Johnson is 1467179929 and his current mailing address is 2450 Winfield Dunn Pkwy, Kodak, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467179929.

Contact Information

Matthew Johnson, MA, MDIV
2450 Winfield Dunn Pkwy,
Kodak, TN 37764-2100
(865) 805-0567
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMatthew Johnson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2450 Winfield Dunn Pkwy, Kodak, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467179929
  • Provider Enumeration Date: 10/25/2022
  • Last Update Date: 10/25/2022

Medical Identifiers

Medical identifiers for Matthew Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467179929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (Tennessee)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. Matthew 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 AddressPractice Location Address
Matthew Johnson, MA, MDIV
2450 Winfield Dunn Pkwy,
Kodak, TN 37764-2100

Ph: () -		Matthew Johnson, MA, MDIV
2450 Winfield Dunn Pkwy,
Kodak, TN 37764-2100

Ph: (865) 805-0567

Reviews and Comments


Counselor in Kodak, TN


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