Individual provider Active NPI

Austin J Johnson

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1225536212
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10794 Issued in OR
Practice address
223 Commercial St NE Ste 214
Salem, OR 97301-4082
Phone
(971) 600-0980
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L10794 OR Primary

Addresses

Primary practice location

223 Commercial St NE Ste 214
Salem, OR 97301-4082

Mailing address

223 Commercial St NE Ste 214
Salem, OR 97301-4082
Phone (971) 600-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Psychiatric Associates, P.C. Clinical CurrentSince May 9, 2024 Accepting new patients
Christian Community Placement Center PastSince Jun 1, 2021 Accepting new patients
Christian Community Placement Center PastSince Jun 1, 2021 Accepting new patients

Locations

821 Saginaw St S
Salem, OR 97302
Phone (503) 362-1999

Organizations & group practices 3

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1225536212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 COMMERCIAL ST NE STE 214",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014082",
            "telephone_number": "971-600-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COMMERCIAL ST NE STE 214",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014082",
            "telephone_number": "971-600-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUSTIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.