Active NPIIndividual provider

Mrs. Theresa M Johnson, RN BC APRN LADC

Counselor in West Hurtford, Connecticut

NPI Number1124233473
Practice location
361 Park RD, 3RD Fl, West Hurtford, CT 06119
Fax
—
Last updated
September 11, 2025

Theresa M Johnson is a Counselor based in West Hurtford, CT. Theresa M Johnson practices in West Hurtford, CT and has the professional credentials of RN BC APRN LADC. The NPI Number for Theresa M Johnson is 1124233473 and holds a License No. LADC000161 (CT). The current practice location address for Theresa M Johnson is 361 Park RD, 3RD Fl, West Hurtford, CT 06119 and can be reached out via phone at 860-523-1101.

Provider Profile Details

NPI Number
1124233473
Provider Name
Theresa M Johnson
Credential
RN BC APRN LADC
Provider Entity Type
Individual
Gender
Female
Address
361 Park RD, 3RD Fl, West Hurtford, CT 06119
Phone Number
860-523-1101
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
361 Park RD
3RD Fl
West Hurtford, CT 06119
Zip
06119
Phone Number
860-523-1101
West Hurtford, CT 06119Get directions →

Provider Business Mailing Address Details

Address
9A Farmington Chase Crescent
Farmington, CT 06032-3132
City
Farmington
State
CT
Zip
06032-3132
Phone Number
860-677-0367
Fax Number
860-677-0367

License Information

License Number (1)
LADC000161
License State (1)
CT
Taxonomy (1)
Counselor · 101Y00000X · Primary
License Number (2)
RNE33028
License State (2)
CT
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
APRN002487
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Theresa M Johnson, RN BC APRN LADC?

The NPI number of Mrs. Theresa M Johnson, RN BC APRN LADC is 1124233473. It was assigned on May 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Theresa M Johnson, RN BC APRN LADC?

Mrs. Theresa M Johnson, RN BC APRN LADC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in CT under license number LADC000161.

Where does Mrs. Theresa M Johnson, RN BC APRN LADC practice?

The practice location is 361 Park RD, 3RD Fl, West Hurtford, CT 06119. The office can be reached at 860-523-1101 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124233473 directly on the NPPES registry website.

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