Individual provider Active NPI

Denise Yvette Johnson, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1346058872
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77317 Issued in TX
Practice address
17300 Henderson Pass Ste 260
San Antonio, TX 78232-1568
Phone
(210) 908-7573
Fax
(210) 807-8789
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 77317 TX Primary

Addresses

Primary practice location

17300 Henderson Pass Ste 260
San Antonio, TX 78232-1568

Mailing address

6518 Runaway Row
Converse, TX 78109-3884
Phone (210) 316-3799

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
I20250117003392 TX Practitioner - Mental Health Counselor 0547799686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17300 Henderson Pass
Suite 260
San Antonio, TX 78232-1568
Phone (210) 908-7573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLG the Lahaye Group LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

17300 Henderson Pass
Ste 260
San Antonio, TX 78232
Phone (210) 908-7573

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1346058872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 RUNAWAY ROW",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093884",
            "telephone_number": "210-316-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 HENDERSON PASS STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321568",
            "telephone_number": "210-908-7573",
            "fax_number": "210-807-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "middle_name": "YVETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.