Olivia Johnson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116119 Issued in TX

Practice address

3507 E Creek Club Dr
Missouri City, TX 77459-4101

Phone

(281) 849-7350

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Amenity Health Services PLLC

  • Occupational Therapist
  • Houston, TX
  • NPI 1356802755

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1184352189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 E CREEK CLUB DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594101",
            "telephone_number": "281-849-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 E CREEK CLUB DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594101",
            "telephone_number": "281-849-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrus Johnson, ED.D
• Emma Renae Johnson, PT, DPT
• Jeanene Marie Johnson, M.A. CCC-SLP
• Jessica Johnson
• Natarsha Johnson, LPC
• Rhonessia Sade' Johnson, LMFT-S
• Teera Johnson, RN
• Merlin Jomy
• Sharifa Lynette Jones-Rankins, LCSW, ACM-SW
• Ee'a Jones

• Speech-Language Pathologist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.