Active NPI
Joshua Johnson, LPC
- Professional Counselor
- Rayville, LA
National Provider Identifier
1104282169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4625
- Practice address
- 161 Comeaux Rd
Rayville, LA 71269-7554 - Phone
- (318) 303-5500
- NPI assigned
- Jan 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5625 | LA | |
| Professional Counselor | 101YP2500X | 4625 | LA | Primary |
Addresses
Primary practice location
161 Comeaux Rd
Rayville, LA 71269-7554
Mailing address
2321 Highway 80 E
Monroe, LA 71203-9366
Phone (318) 600-3333
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 |
|---|---|---|---|
| 4625 | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 5625 | LA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Chances Recovery Center LLC | Current | Accepting new patients | |
| New Hope Addiction Recovery, LLC | Professional | Past | Accepting new patients |
| New Hope Addiction Recovery, LLC | Past | Accepting new patients |
Locations
161 Comeaux Rd
Rayville, LA 71269
Phone (318) 303-5500
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- Rayville, LA
- NPI 1073122420
-
- Addiction Medicine (Family Medicine) Physician
- Shreveport, LA
- NPI 1083386809
Professional
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Shreveport, LA
- NPI 1821623315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1104282169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 HIGHWAY 80 E",
"city": "MONROE",
"state": "LA",
"postal_code": "712039366",
"telephone_number": "318-600-3333",
"fax_number": "318-600-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 COMEAUX RD",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712697554",
"telephone_number": "318-303-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOSHUA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "5625",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rayville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.