Addie Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC 007726 Issued in PA

Practice address

1811 Bethlehem Pike
Suite 214-215
Flourtown, PA 19031-1111

Phone

(215) 643-0200

Fax

(215) 643-9844

NPI assigned

Oct 4, 2012

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1205188083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE 214-215",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE 214-215",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADDIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "LC3268",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC 007726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12751349",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute for Dermatopathology, Inc.
• Kenneth L Izzo, MD
• J Snyder Therapeutic Services
• Jefferson Acute Care Physicians, PC
• Evangelia A Johns, LSW
• Ciera Lynn Johnson, MD
• Julia Johnson
• Katie Johnson, PT, DPT
• Kelly B Johnson, OT
• Tria C Jones, RN

• Professional Counselor in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.