Active NPI
Shannon Gail Roye Johnston, LPC
- Counselor
- Stigler, OK
National Provider Identifier
1194033597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4341
- Practice address
- 904 NW 4TH St
Stigler, OK 74462-1653 - Phone
- (918) 686-3790
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4341 | OK | Primary |
Addresses
Primary practice location
904 NW 4TH St
Stigler, OK 74462-1653
Mailing address
904 NW 4TH St
Stigler, OK 74462-1653
Phone (918) 686-3790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200356420A | Medicaid | OK |
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 |
|---|---|---|---|
| 4341 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1194033597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 NW 4TH ST",
"city": "STIGLER",
"state": "OK",
"postal_code": "744621653",
"telephone_number": "918-686-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 NW 4TH ST",
"city": "STIGLER",
"state": "OK",
"postal_code": "744621653",
"telephone_number": "918-686-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYE JOHNSTON",
"first_name": "SHANNON",
"middle_name": "GAIL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "4341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200356420A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stigler, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.