Individual provider Active NPI

Lynn Michelle Johnson, LMFT

  • Marriage & Family Therapist
  • Hollidaysburg, PA
National Provider Identifier
1174674055
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000063 Issued in PA
Practice address
511 Allegheny St Ste 1
Hollidaysburg, PA 16648-2023
Phone
(814) 931-6791
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000063 PA Primary

Addresses

Primary practice location

511 Allegheny St Ste 1
Hollidaysburg, PA 16648-2023

Mailing address

511 Allegheny St Ste 1
Hollidaysburg, PA 16648-2023
Phone (814) 931-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000309 PA Practitioner - Marriage and Family Therapist 7810346954 Practice locations: Hollidaysburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 Allegheny St
Suite 103
Hollidaysburg, PA 16648-2026
Phone (814) 931-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1174674055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ALLEGHENY ST STE 1",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482023",
            "telephone_number": "814-931-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ALLEGHENY ST STE 1",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482023",
            "telephone_number": "814-931-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

Verify at the official NPI Registry.