Active NPI
William Russell Johnson Jr.
- Professional Counselor
- Oregon City, OR
National Provider Identifier
1063879476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH61146344
- Practice address
- 14936 S Fox Pointe Dr
Oregon City, OR 97045-8867 - Phone
- (503) 805-8201
- NPI assigned
- Jan 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH61146344 | WA | Primary |
Addresses
Primary practice location
14936 S Fox Pointe Dr
Oregon City, OR 97045-8867
Mailing address
14936 S Fox Pointe Dr
Oregon City, OR 97045-8867
Phone (503) 805-8201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61146344 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678492800000",
"number": "1063879476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14936 S FOX POINTE DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458867",
"telephone_number": "503-805-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14936 S FOX POINTE DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458867",
"telephone_number": "503-805-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-15",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH61146344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.