Active NPI
Carrie Johnson
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1164139440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73839
- Practice address
- 8311 Fawn Terrace Dr
Houston, TX 77071-3655 - Phone
- (832) 545-1906
- NPI assigned
- Nov 4, 2022
- Last updated
- Nov 4, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 73839 | TX | Primary |
Addresses
Primary practice location
8311 Fawn Terrace Dr
Houston, TX 77071-3655
Mailing address
8311 Fawn Terrace Dr
Houston, TX 77071-3655
Phone (832) 545-1906
Other practice location 1
44113 Austin Branch Rd
Hempstead, TX 77445-8336
Phone (979) 921-0736
Other names 1
- Carrie Lane Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
535 Mack Ave
Kingsley, MI 49649-9220
8311 Fawn Terrace Dr
Houston, TX 77071-3655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73839 | TX | MD | Mental Health Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1164139440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 FAWN TERRACE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770713655",
"telephone_number": "832-545-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 FAWN TERRACE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770713655",
"telephone_number": "832-545-1906"
}
],
"practiceLocations": [
{
"address_1": "44113 Austin Branch Rd",
"address_purpose": "LOCATION",
"city": "Hempstead",
"state": "TX",
"postal_code": "774458336",
"country_code": "US",
"telephone_number": "979-921-0736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "JOHNSON",
"middle_name": "LANE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.