Nikolaus Johnson LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NIKOLAUS JOHNSON LLC

Practice address

1616 Wabash Ave
Fort Worth, TX 76107-6598

Phone

(817) 953-5159

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Nikolaus JohnsonNPI 1134508575

Title

Owner

Phone

(262) 751-7119

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikolaus Johnson

  • Professional Counselor
  • Springfield, MO
  • NPI 1134508575

  OK, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1104703636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 WABASH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076598",
            "telephone_number": "817-953-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WABASH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076598",
            "telephone_number": "817-953-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLAUS JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NIKOLAUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-751-7119"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Nigliazzo, CPNP
• Hisashi Nikaidoh, MD
• Nikhat a. Qureshi, M.D., P.a.
• Nikki Dear, PLLC
• Nikki Goins
• Maryam Nikravesh, SLP
• Keerthana Nimmagadda, MD
• Kameswara Rao Nimmakayala, M.D
• Tyra A Nimmons, LCSW
• Nimu PLLC

• Adult Mental Health Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.