Active NPI
Louie Ray Johnson, M.A.
- Counselor
- Austin, TX
National Provider Identifier
1265711725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12295
- Practice address
- 11675 Jollyville Rd
Suite 111
Austin, TX 78759-3939 - Phone
- (512) 219-8828
- Fax
- (512) 219-8838
- NPI assigned
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12295 | TX | Primary |
Addresses
Primary practice location
11675 Jollyville Rd
Suite 111
Austin, TX 78759-3939
Mailing address
11675 Jollyville Rd
Suite 111
Austin, TX 78759-3939
Phone (512) 219-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12295 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Counseling & Evaluation, LLP | Counselor | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1265711725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11675 JOLLYVILLE RD",
"address_2": "SUITE 111",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593939",
"telephone_number": "512-219-8828",
"fax_number": "512-219-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11675 JOLLYVILLE RD",
"address_2": "SUITE 111",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593939",
"telephone_number": "512-219-8828",
"fax_number": "512-219-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LOUIE",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "12295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.