Courtney E. Johnson, PH.D. L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1011 Issued in KS

Legal business name

COURTNEY E. JOHNSON, PH.D. L.L.C.

Practice address

8100 E 22ND St N
BLDG 1, Suite 2
Wichita, KS 67226-2388

Phone

(316) 337-5432

Fax

(316) 337-5481

NPI assigned

Jan 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Courtney E Johnson, PH.D.NPI 1881764355

Title

Psychologist

Phone

(316) 337-5432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, WA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney E Johnson, PH.D

  • Clinical Psychologist
  • Olympia, WA
  • NPI 1881764355

  Clinical, KS, WA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1013288596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BLDG 1, SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-337-5432",
            "fax_number": "316-337-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BLDG 1, SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-337-5432",
            "fax_number": "316-337-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY E. JOHNSON, PH.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "316-337-5432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Sedgwick
• County of Sedgwick
• Courter Counseling LLC
• Melissa Christine Courter, LCPC
• Courtesy Carriers L.L.C.
• Andrea Renee Courtney, RN, BSN
• Taylor Courtois
• Donna Elaine Courtright
• Mercedes Cousins
• Carrie Dawn Couture, LSCSW

• All providers in Wichita, KS
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.