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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083116065

Nicholaus Johnson is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

2130 Stockton Blvd
Sacramento, CA 95817-1337
Phone: (916) 875-0701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1820 J St, Sacramento, CA 95811-3010 — (916) 313-8434
  • 401 S St, Sacramento, CA 95811-6919 — (916) 274-1727

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1264810917 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1083116065
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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