Active NPI
Danny S Johnson, MA, LCSW, LPC
- Professional Counselor
- Cape Girardeau, MO
National Provider Identifier
1336187194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001716
- Practice address
- 2751 Thomas Dr Ste 102
Cape Girardeau, MO 63701-2131 - Phone
- (573) 334-3486
- Fax
- (573) 334-3524
- NPI assigned
- Jun 3, 2006
- Last updated
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001716 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 000976 | MO |
Addresses
Primary practice location
2751 Thomas Dr Ste 102
Cape Girardeau, MO 63701-2131
Mailing address
1952 Perryville Rd
Cape Girardeau, MO 63701-2425
Phone (573) 335-1438
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148597 | Other | BLUE CROSS BLUE SHIELD | |
| 431823864 | Other | WELL POINT | |
| 431823864 | Other | GREAT WEST | |
| 433166 | Other | FORTIS/HL | |
| 433166 | Other | FIRST HEALTH | |
| 431823864 | Other | CORP HEALTH | |
| 431823864 | Other | MAGELLAN | |
| 433166 | Other | HEALTHLINK/PPO | |
| 431823864 | Other | VALUE OPTIONS | |
| 431823864 | Other | MULTIPLAN | |
| 433166 | Other | EPOCH | |
| 237961 | Other | COMPPSYCH | |
| 433166 | Other | CENTURY PLANNERS | |
| 6223868 | Other | UNITED HELATH CARE | |
| 433166 | Other | ENCOMPASS | |
| 493267124 | Medicaid | MO | |
| 431823864 | Other | MO ALLIANCE | |
| 433166 | Other | HEALTHLINK FREEDOM | |
| 433166 | Other | FIRST ADMINISTRATION |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001716 | MO | MD | Professional Counselor |
| 000976 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1336187194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 PERRYVILLE RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012425",
"telephone_number": "573-335-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 THOMAS DR STE 102",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012131",
"telephone_number": "573-334-3486",
"fax_number": "573-334-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANNY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MA, LCSW, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001716",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "000976",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "148597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL POINT",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FORTIS/HL",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP HEALTH",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK/PPO",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPOCH",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPPSYCH",
"identifier": "237961",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTURY PLANNERS",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HELATH CARE",
"identifier": "6223868",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENCOMPASS",
"identifier": "433166",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493267124",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO ALLIANCE",
"identifier": "431823864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK FREEDOM",
"identifier": "433166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST ADMINISTRATION",
"identifier": "433166",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.