Individual provider Active NPI

Patricia Johnson, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1215172218
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62194 Issued in TX
Practice address
16015 Cairnway Dr.
Unit 841077
Houston, TX 77284-1077
Phone
(832) 230-4158
NPI assigned
Dec 5, 2008
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62194 TX Primary

Addresses

Primary practice location

16015 Cairnway Dr.
Unit 841077
Houston, TX 77284-1077

Mailing address

PO Box 841077
Houston, TX 77284-1077
Phone (832) 230-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240828004841 TX Practitioner - Mental Health Counselor 6800335332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Houston, TX 77041
Phone (832) 230-4158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62194TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beatitudes Wellness Center LLC Professional CurrentSince Jul 8, 2024 Accepting new patients

Locations

16015 Cairnway Dr
Unit 841077
Houston, TX 77284
Phone (832) 230-4158

908 Town and Country Blvd
#120
Houston, TX 77024
Phone (713) 984-7520

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.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1215172218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772841077",
            "telephone_number": "832-230-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16015 CAIRNWAY DR.",
            "address_2": "UNIT 841077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772841077",
            "telephone_number": "832-230-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2024-04-10",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.