Individual provider Active NPI

David Andrew Johnson, MSW, LMFT

  • Marriage & Family Therapist
  • MC Kenzie, TN
National Provider Identifier
1194733089
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT917 Issued in TN
Practice address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone
(731) 352-7907
Fax
(731) 352-4459
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT917 TN Primary
Social Worker 104100000X LSW3525 TN

Addresses

Primary practice location

205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649

Mailing address

205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

Other practice location 1

205 Hospital Dr Ste C
Mc Kenzie, TN 38201-1649
Phone (731) 207-8560

Other identifiers 3

IdentifierTypeStateIssuer
3380640OtherTNGROUP MEDICAID
3380640OtherTNGROUP MEDICARE
1522068MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20251223000965 TN Practitioner - Marriage and Family Therapist 8729268099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Medical Center PC 32 clinicians

Practice addresses (Care Compare)

205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907

205 Hospital Dr
Suite a
MC Kenzie, TN 38201-2024

205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT917TNMDMarriage & Family Therapist
3525TNMDPharmacist
917TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Medical Center PC Marriage & Family Therapist Current Accepting new patients
McKenzie Medical Center PC CurrentSince Oct 11, 2025 Accepting new patients

Locations

30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800

306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344

811 Morrow St
Ste 207
Dresden, TN 38225
Phone (731) 364-4900

105 N Cedar St
Gleason, TN 38229
Phone (731) 648-5634

205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560

205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1194733089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hospital Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-207-8560",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMFT917",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW3525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522068",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kenzie, TN

Sources for this page

Verify at the official NPI Registry.