Individual provider Active NPI

Laquava Johnson, LPC

  • Counselor
  • Lawton, OK
National Provider Identifier
1013492859
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11603 Issued in OK
Practice address
6425 NW Cache Rd Ste 214
Lawton, OK 73505-3393
Phone
(580) 647-0861
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11603 OK Primary

Addresses

Primary practice location

6425 NW Cache Rd Ste 214
Lawton, OK 73505-3393

Mailing address

6816 NW Faircloud Dr
Lawton, OK 73505-1280

Other practice location 1

6816 NW Faircloud Dr
Lawton, OK 73505-1280
Phone (580) 647-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620002256 OK Practitioner - Mental Health Counselor 8022551951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Our House Mhsa Inc CurrentSince Mar 18, 2024 Accepting new patients
Get Out Your Feelings LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

6425 NW Cache Rd
Ste 214
Lawton, OK 73505
Phone (580) 647-0861

2305 SW H Ave
Ste 1
Lawton, OK 73505
Phone (580) 699-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1013492859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 NW FAIRCLOUD DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 NW CACHE RD STE 214",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053393",
            "telephone_number": "580-647-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6816 NW Faircloud Dr",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735051280",
            "country_code": "US",
            "telephone_number": "580-647-0861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAQUAVA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "11603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.