Jean Carol Johnson, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9929 Issued in TX

Practice address

4408 Delwood LN
Panama City, FL 32408-7492

Phone

(850) 636-7087

NPI assigned

May 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1184060451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WHISPERING LAKE DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594286",
            "telephone_number": "936-689-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 DELWOOD LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324087492",
            "telephone_number": "850-636-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEAN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delanie Johnson
• Desheka Johnson
• Elaine Carter Johnson
• Emily Mae Johnson, RBT
• Jacqueline Mary Johnson, PTA
• Jeremy Lynn Johnson, CRNA
• Jillian Mary Johnson, MSPAP, PA-C
• Katherine Johnson, PTA
• Kayla Brooke Johnson
• Kelly Johnson, PTA

• Addiction (Substance Use Disorder) Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.