Active NPI
Karen Johnson, LPC
- Professional Counselor
- Bossier City, LA
National Provider Identifier
1194054114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4019
- Practice address
- 4330 Panther Dr
Bossier City, LA 71112-4234 - Phone
- (318) 698-1604
- Fax
- (318) 746-5435
- NPI assigned
- Dec 22, 2009
- Last updated
- Dec 22, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4019 | LA | Primary |
Addresses
Primary practice location
4330 Panther Dr
Bossier City, LA 71112-4234
Mailing address
4330 Panther Dr
Bossier City, LA 71112-4234
Phone (318) 698-1604
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 |
|---|---|---|---|
| 4019 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellaire Baptist Church | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Bossier City, LA
- NPI 1992035729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1194054114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 PANTHER DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124234",
"telephone_number": "318-698-1604",
"fax_number": "318-746-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 PANTHER DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124234",
"telephone_number": "318-698-1604",
"fax_number": "318-746-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.