Phillip Johnson II, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63494 Issued in TX

Practice address

4522 Fredericksburg Rd
Suite a-45
San Antonio, TX 78201-6521

Phone

(210) 716-5040

Fax

(866) 716-3426

NPI assigned

Apr 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Aljon Family Counseling PLLC

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1659713659
  NPD (past) Authorized official

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1346566932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "SUITE A-45",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-716-5040",
            "fax_number": "866-716-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "SUITE A-45",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-716-5040",
            "fax_number": "866-716-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHILLIP",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63494",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Lee Ann Johnson, NP-C
• Nicholas David Johnson, SURGICAL TECH
• Patrice Jeanine Johnson, MD
• Patricia A Johnson, FNP
• Patricia C Johnson, M.D.
• Rahman C. Johnson, M.D.
• Reggie Johnson
• Reychell N Johnson
• Rinna C Johnson, M.D.
• Robert David Johnson, M.D.

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.