Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Roosevelt N/A Johnson Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841151644

Mr. Roosevelt N/A Johnson Jr. is an Addiction (Substance Use Disorder) Counselor in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1124 International Blvd
Oakland, CA 94606-4331
Phone: (510) 533-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1841151644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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