Andrew F. Johnson, EDS LPC NCC EMDR-CT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1918 N Kingshighway St Ste 102
Cape Girardeau, MO 63701-2158

Phone

(573) 271-2008

Fax

(573) 271-2008

NPI assigned

Mar 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1033418462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BROADWAY ST STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017321",
            "telephone_number": "573-271-2008",
            "fax_number": "573-271-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 N KINGSHIGHWAY ST STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012158",
            "telephone_number": "573-271-2008",
            "fax_number": "573-271-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "EDS LPC NCC EMDR-CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019004054",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Sauer, DDS, LLC
• John S RX LLLP
• Johns Healthcare Services LLC
• Johns Pharmacy LLLP
• Johns Pharmacy LLLP
• Braden Johnson
• Carrie Johnson
• Charles D Johnson, LPC
• Danny S Johnson, MA, LCSW, LPC
• Deshonoa L Johnson

• Addiction (Substance Use Disorder) Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.