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Deactivated NPI 1134896566 Deactivated / Inactive NPI Male Practitioner

Gene Johnson

Peer Specialist • Columbus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gene Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2021
NPI Deactivation Date March 20, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Gene Johnson was a registered Peer Specialist practicing in Columbus, OH. Throughout an active medical career spanning 4 years, Gene Johnson provided care at the practice location at 16 W LONG ST until profile deactivation on 2025-03-20.

Practice Location & Contact Primary Location

Practice Address

16 W Long St

Columbus, OH 432152815

Telephone 6142250990
Associated Practice Facility / Clinic
🏢 Southeast, Inc Facility NPI 1932169497

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
404 Specialists

Practicing in Columbus, OH (3139 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Malcolm Turner

Case Manager/Care Coordinator

NPI 1003321738
Brian Johnson

Case Manager/Care Coordinator

NPI 1003335332
Joseph Hamer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003360363

Psychiatric-Mental Health Nurse Practitioner

Darlynn Nero

Case Manager/Care Coordinator

NPI 1003392325
Elizabeth Thuener

Peer Specialist

NPI 1003478074
Sarah Fisher

Case Manager/Care Coordinator

NPI 1003480187

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated March 20, 2025

Record deactivated on March 20, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2025

Peer Specialist (License #0002393 in OH)

NPI Profile Active September 09, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 09, 2021

Registered at 16 W LONG ST, COLUMBUS, OH 432152815 (Tel: 6142250990)

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Updated Business Mailing Address September 09, 2021

Registered at 16 W LONG ST, COLUMBUS, OH 432152815 (Tel: 6142250990)

👤
Provider Name / Credentials Updated September 09, 2021

Recorded as GENE JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Peer Specialist

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Initial NPI Registration & Enumeration August 24, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134896566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2021
Last Update: September 09, 2021
Deactivation Date: March 20, 2025

Mailing Address

16 W Long St

Columbus, OH 432152815

Phone: 6142250990

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.