Ann Kimbrough Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15808 Issued in TX

Practice address

155 Interstate 10 N
Second Floor - Suite 1
Beaumont, TX 77707-2546

Phone

(409) 899-1656

NPI assigned

Jun 16, 2006

Last updated

Apr 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kotel Atx PLLC

  dba Heading Health

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1568055192
  NPD
• The Resilience Center of Houston, LLC

  dba The Resilience Center of Houston

  • Marriage & Family Therapist
  • Cypress, TX
  • NPI 1821475039

  Clinical

  NPD
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD
• Family Services of Southeast Texas Inc

  • Mental Health Counselor
  • Beaumont, TX
  • NPI 1619011574
  NPD (past)
• Samantha J Vigneri

  dba Comprehensive Therapies and Services

  • Social Worker
  • Hempstead, TX
  • NPI 1073617684

  Clinical

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1154365294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INTERSTATE 10 N",
            "address_2": "SECOND FLOOR - SUITE 1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072546",
            "telephone_number": "409-899-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INTERSTATE 10 N",
            "address_2": "SECOND FLOOR - SUITE 1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072546",
            "telephone_number": "409-899-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANN",
        "middle_name": "KIMBROUGH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "15808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Q.a. Webb, Jr. MD (Physical Medicine of Houston)
• John T. Humble MD, PA
• Destiny John
• Reji John, MD
• Clarissa Marie Johnnie
• Brandon R Johnson
• Brandy Nicole Johnson
• Bridgett Bonique Johnson
• Deanna Johnson
• Debra Johnson

• Clinical Social Worker in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.