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Nicole Renee Johnson

NPI 1407414709ActiveIndividual· Peer Specialist· Longview, WA

Peer Specialist in Longview, Washington, licensed in WA, with an NPI issued in May 2019.

Overview

NPI1407414709
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 31, 2019
Last updated in NPPESMay 31, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Peer Specialist Primary175T00000XCG60971822WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Peer Specialist providers in Longview

All 108 Peer Specialist providers in Longview · All Peer Specialist providers in Washington