Tracey L Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2331 Issued in TN

Practice address

6009 Squire CT
#1
Memphis, TN 38115-3226

Phone

(901) 396-9007

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1124168877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 COVINGTON PIKE",
            "address_2": "PMB 162",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381286007",
            "telephone_number": "901-396-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 SQUIRE CT",
            "address_2": "#1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153226",
            "telephone_number": "901-396-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACEY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "61252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Elise Johnson, LMSW
• Taylor Johnson, LPC-MHSP
• Teresa F Johnson, CRNA
• Tiffany Breonda Johnson, PHARM D
• Tina G Johnson, FNP
• Triscilla D'Anne Johnson, LPC-MHSP
• Tyeneshia Johnson
• Vernon Latrell Johnson, M.D.
• Veronica R Johnson, BA
• Victor L. Johnson, B.A.

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.