Individual provider Active NPI

Varnell L. Johnson Sr., LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1235586785
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83631 Issued in TX
Practice address
7526 Louis Pasteur Dr RM 316
San Antonio, TX 78229-4001
Phone
(210) 450-6440
Fax
(210) 450-2104
NPI assigned
May 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83631 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10461 TX

Addresses

Primary practice location

7526 Louis Pasteur Dr RM 316
San Antonio, TX 78229-4001

Mailing address

5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone (210) 450-6450

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
I20240105002010 TX Practitioner - Mental Health Counselor 0648621458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone (210) 450-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10461TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 23, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2024 Accepting new patients
Taj Management, LLC Past Accepting new patients

Locations

5788 Eckhert Rd
San Antonio, TX 78240
Phone (210) 450-6450

7526 Louis Pasteur Dr
Rm 316
San Antonio, TX 78229
Phone (210) 450-6440

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Organizations & group practices 4

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1235586785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ECKHERT RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403900",
            "telephone_number": "210-450-6450",
            "fax_number": "210-450-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 LOUIS PASTEUR DR RM 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294001",
            "telephone_number": "210-450-6440",
            "fax_number": "210-450-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VARNELL",
        "middle_name": "L.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83631",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.