Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932614351 Individual Practitioner Female Practitioner

Sidney M Johnson , PLPC

Counselor • Hannibal, MO

Professional Overview & Biography Verified Profile Summary

Sidney Johnson, PLPC is a registered healthcare professional specializing in Counselor in Hannibal, MO. Practice services are available at 1221 BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 Broadway St

Hannibal, MO 63401

Telephone 5732212111
Associated Practice Facility / Clinic
🏢 White Oak Counseling, Llc Facility NPI 1750586103

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Hannibal, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Hannibal, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 2017041669

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Wade Sutter

Counselor - Professional

NPI 1063103869
NPI 1124358783
NPI 1164659561

Licensed Clinical Social Worker, Master of Social Work

Carrie Danner , MSW, LCSW

Social Worker - Clinical

NPI 1215024781

Master of Social Work, Licensed Clinical Social Worker

NPI 1386939585
Wendy Bryant , PLPC

Counselor - Professional

NPI 1548635907

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2017

Registered at 1221 BROADWAY ST, HANNIBAL, MO 63401 (Tel: 5732212111)

📍
Updated Business Mailing Address December 07, 2017

Registered at 1221 BROADWAY # ATH, HANNIBAL, MO 634014005 (Tel: 5732212111)

👤
Provider Name / Credentials Updated December 07, 2017

Recorded as SIDNEY JOHNSON, PLPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Counselor (License #2017041669 in MO)

🟢
Initial NPI Registration & Enumeration December 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932614351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2017
Last Update: June 16, 2018
Sole Proprietor: Yes

Mailing Address

1221 Broadway # Ath

Hannibal, MO 634014005

Phone: 5732212111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.