Brandon Lee Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

205278 Issued in TX

Practice address

4501 Mildred Ave
Killeen, TX 76549-2776

Phone

(909) 753-4681

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1225804925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MILDRED AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765492776",
            "telephone_number": "909-753-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MILDRED AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765492776",
            "telephone_number": "909-753-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Nelson St",
            "address_purpose": "LOCATION",
            "city": "Fort Huachuca",
            "state": "AZ",
            "postal_code": "856131503",
            "country_code": "US",
            "telephone_number": "909-753-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykala Jimenez, LMT
• Natalie Joaquim
• Danielle Shaquelle Johnson-Oleksiak, CNA
• Jamie Michelle Johnson-Varnado, FNP-C
• Ayonna Johnson, LPC
• Brittney Johnson, CPT
• Carrie Johnson
• Courtenay Johnson, D.O.
• Dominique Johnson, FNP
• Hannah Victoria Johnson, MS SLP

• Marriage & Family Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.