Individual provider Active NPI

Ashley Monet Johnson, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1154946382
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59234 Issued in TX
Practice address
14405 Walters Rd Ste 803
Houston, TX 77014-1356
Phone
(832) 348-9742
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 59234 TX Primary

Addresses

Primary practice location

14405 Walters Rd Ste 803
Houston, TX 77014-1356

Mailing address

14405 Walters Rd Ste 803
Houston, TX 77014-1356
Phone (832) 348-9742

Other practice location 1

6500 Hornwood Dr
Houston, TX 77074-5008
Phone (713) 779-2424

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59234TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Centered Psychiatry PLLC Multi-Specialty CurrentSince Apr 25, 2024 Accepting new patients

Locations

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1154946382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD STE 803",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141356",
            "telephone_number": "832-348-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD STE 803",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141356",
            "telephone_number": "832-348-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Hornwood Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770745008",
            "country_code": "US",
            "telephone_number": "713-779-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "middle_name": "MONET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.