Individual provider Active NPI

Wanda Y Johnson, LPC,LMFT, PH.D.

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1144249822
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
08895 Issued in TX
Practice address
1201 N Watson Rd
Suite 144
Arlington, TX 76006-6190
Phone
(817) 633-2092
Fax
(817) 633-2094
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1532 TX
Professional Counselor 101YP2500X 08895 TX Primary

Addresses

Primary practice location

1201 N Watson Rd
Suite 144
Arlington, TX 76006-6190

Mailing address

1201 N Watson Rd
Suite 144
Arlington, TX 76006-6190
Phone (817) 633-2092

Other identifiers 1

IdentifierTypeStateIssuer
752342350OtherTXTAX IDENTIFICATION NUMBER

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

LicenseStateTypeSpecialty
1532TXMDAddiction (Substance Use Disorder) Counselor
08895TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1144249822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "SUITE 144",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066190",
            "telephone_number": "817-633-2092",
            "fax_number": "817-633-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "SUITE 144",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066190",
            "telephone_number": "817-633-2092",
            "fax_number": "817-633-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WANDA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "LPC,LMFT, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1532",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "08895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "752342350",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.