Individual provider Active NPI

Joshua Johnson, LPC

  • Professional Counselor
  • Rayville, LA
National Provider Identifier
1104282169
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4625 Issued in LA
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4625LAMDOral and Maxillofacial Surgery (Dentist)
5625LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chances Recovery Center LLC CurrentSince Dec 21, 2021 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.

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.

Verify at the official NPI Registry.