Ulric R Johnson, LMHC, LMFT, RC, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

265 Issued in MA

Practice address

2 Moody St
Dorchester Center, MA 02124-3507

Phone

(617) 365-0637

NPI assigned

Jun 1, 2011

Last updated

Jun 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Teens Against Gang Violence

  dba Teens Advocating a Global Vision

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
  • NPI 1649516220
  NPD (past) Authorized official

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1083908594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOODY ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243507",
            "telephone_number": "617-365-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOODY ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243507",
            "telephone_number": "617-365-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ULRIC",
        "middle_name": "R",
        "credential": "LMHC, LMFT, RC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "40",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "265",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopewell Recovery Services
• Henry Thomas Howard
• Christina Isenard
• Vanria V Iyamu
• David P. John, M.D.
• Lakisha Jordan
• Cressida L.G Joseph, DMD
• Lindia Joseph, R.N.
• Susan Joyce, CRNA
• Makeda Kamara, CNM, MPH, M.ED

• Mental Health Counselor in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.