Active NPI
Denise Johnson, LSW, LMHC
- Social Worker
- Indianapolis, IN
National Provider Identifier
1164642294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33003101A
- Practice address
- 4720 Guilford Ave
Indianapolis, IN 46205-1956 - Phone
- (317) 283-3270
- Fax
- (317) 283-2685
- NPI assigned
- Apr 30, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000912A | IN | |
| Pastoral Counselor | 101YP1600X | 39000912A | IN | |
| Professional Counselor | 101YP2500X | 39000912A | IN | |
| Social Worker | 104100000X | 33003101A | IN | Primary |
Addresses
Primary practice location
4720 Guilford Ave
Indianapolis, IN 46205-1956
Mailing address
4720 Guilford Ave
Indianapolis, IN 46205-1956
Phone (317) 283-3270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33003101A | Other | IN | SOCIAL WORKER LICENSE |
| 39000912A | Other | IN | MENTAL HEALTH COUNSELOR |
| 39000912A | Other | IN | PASTORAL CARE COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000912A | IN | MD | Mental Health Counselor |
| 33003101A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164642294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 GUILFORD AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051956",
"telephone_number": "317-283-3270",
"fax_number": "317-283-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 GUILFORD AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051956",
"telephone_number": "317-283-3270",
"fax_number": "317-283-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DENISE",
"credential": "LSW, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000912A",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "IN",
"license": "39000912A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "39000912A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33003101A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER LICENSE",
"identifier": "33003101A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "39000912A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASTORAL CARE COUNSELOR",
"identifier": "39000912A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.