Constance Johnson, LPC, LPC-SUPERVISOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14874 Issued in TX

Practice address

601 Pendleton St
Temple, TX 76504-2947

Phone

(254) 742-1524

Fax

(254) 742-0789

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Connie Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Connie Johnson, LPC, Inc.

  • Professional Counselor
  • Temple, TX
  • NPI 1871792192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1306857875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765710581",
            "telephone_number": "254-760-2960",
            "fax_number": "254-947-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PENDLETON ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765042947",
            "telephone_number": "254-742-1524",
            "fax_number": "254-742-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONSTANCE",
        "credential": "LPC, LPC-SUPERVISOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14874",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA / VALUE OPTIONS TRIC",
            "identifier": "26-0191219",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4067LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028373101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "JOHNSON",
            "credential": "LPC, NCC, LPC-SUPERV",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Calmony Johnson
• Caroline Johnson, MD
• Cecilia Rene Johnson, RN
• Christopher Michael Johnson, M.D.
• Cindy Johnson, LPC
• Dane Christian Johnson, AA
• Edwin Hill Johnson, M.D.
• Haley Nicole Johnson, DPM
• James Toby Johnson, RKT
• Kalina Johnson

• Professional Counselor in Temple, TX
• Providers in Temple, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.