Active NPI
Quinessa Shonte Johnson, PH.D
- Professional Counselor
- Lewisville, TX
National Provider Identifier
1134436520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62859
- Practice address
- 105 Kathryn Dr
Ste 800
Lewisville, TX 75067-4216 - Phone
- (214) 497-5673
- NPI assigned
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62859 | TX | Primary |
Addresses
Primary practice location
105 Kathryn Dr
Ste 800
Lewisville, TX 75067-4216
Mailing address
803 Interstate 30
224
Mesquite, TX 75150-7489
Phone (214) 497-5673
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62859 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1134436520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 INTERSTATE 30",
"address_2": "224",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751507489",
"telephone_number": "214-497-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KATHRYN DR",
"address_2": "STE 800",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674216",
"telephone_number": "214-497-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "QUINESSA",
"middle_name": "SHONTE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.