Individual provider Active NPI

John L Johnston, LPCC

  • Professional Counselor
  • New Lexington, OH
National Provider Identifier
1215904149
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0003320 Issued in OH
Practice address
1375 Commerce Dr
New Lexington, OH 43764-9511
Phone
(740) 342-5154
Fax
(740) 342-6704
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 E0003320 OH Primary

Addresses

Primary practice location

1375 Commerce Dr
New Lexington, OH 43764-9511

Mailing address

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

Other identifiers 1

IdentifierTypeStateIssuer
0180060MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241030003804 OH Practitioner - Mental Health Counselor 5597298471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0003320OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health CurrentSince Sep 20, 2024 Accepting new patients
Integrated Services for Behavioral Health PastSince Sep 20, 2024 Accepting new patients

Locations

11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Organizations & group practices 2

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1215904149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 COMMERCE DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649511",
            "telephone_number": "740-342-5154",
            "fax_number": "740-342-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.