Whitney Tyes Johnson, M. ED, LSC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2204172 Issued in OH

Practice address

18860 Bagley Rd
Ste 404
Middleburg Heights, OH 44130

Phone

(440) 234-8746

NPI assigned

Oct 22, 2021

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1154085595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 RIVIERA WAY",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562346",
            "telephone_number": "216-973-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18860 BAGLEY RD",
            "address_2": "STE 404",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-234-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 E 185th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441192775",
            "country_code": "US",
            "telephone_number": "216-681-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WHITNEY",
        "middle_name": "TYES",
        "credential": "M. ED, LSC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103444-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Lee Jereb, DPM
• Andrei Mihai Jipa, MD
• Erin Johanek
• John B. Wilhelm, MD, Inc.
• Kaleigh N Johnson, CNP
• Erica Jones
• Erin Jones
• Dankesh Joshi
• Lucy Alia Jury, NP
• Amy Justice

• Professional Counselor in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.