Crystal Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6538 Issued in LA

Practice address

2053 Gause Blvd E
Slidell, LA 70461-5449

Phone

(985) 649-1001

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1952941767
  Medicare reassignment
• Baptist Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780199265
  NPD
• St. Tammany Parish School Board

  • Local Education Agency (LEA)
  • Pearl River, LA
  • NPI 1841936325
  NPD
• Five Hearts Healthcare LLC

  • Community/Behavioral Health Agency
  • Slidell, LA
  • NPI 1649644659
  NPD (past)
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1740789312
  NPD (past)
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Lake Charles, LA
  • NPI 1871867887
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1184097230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39110 TAYLOR ST",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704525038",
            "telephone_number": "985-863-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615449",
            "telephone_number": "985-649-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "009506945",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wandell
• Tara Whittaker Jochum, APRN, FNP-C
• John George Roheim, M.D.,Faap, Apmc
• John Lovern, LCSW, LLC
• Ashley Johnson, CPM LM
• Jill Christine Johnson, RN
• Lakea Johnson
• Maegan Marie Johnson
• Matthew Johnson, LCSW
• Michele Marie Johnson, M. D.

• Professional Counselor in Slidell, LA
• Providers in Slidell, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.