Active NPI
Jason Johnson, LCDC
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
National Provider Identifier
1306791074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17356
- Practice address
- 5710 Lyndon B Johnson Fwy Ste 165
Dallas, TX 75240-6572 - Phone
- (972) 849-4236
- NPI assigned
- Feb 27, 2026
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17356 | TX | Primary |
Addresses
Primary practice location
5710 Lyndon B Johnson Fwy Ste 165
Dallas, TX 75240-6572
Mailing address
7414 E Grand Ave Apt 326
Dallas, TX 75214-5823
Phone (972) 849-4236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17356 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1306791074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7414 E GRAND AVE APT 326",
"city": "DALLAS",
"state": "TX",
"postal_code": "752145823",
"telephone_number": "972-849-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 LYNDON B JOHNSON FWY STE 165",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406572",
"telephone_number": "972-849-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASON",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.