Individual provider Active NPI

Christopher B Johnston, LPC CANDIDATE

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1346764446
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCCANDIDATE10831 Issued in OK
Practice address
1330 N Classen Blvd Ste 307
Oklahoma City, OK 73106-6834
Phone
(405) 604-0180
Fax
(405) 228-0181
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCCANDIDATE10831 OK Primary

Addresses

Primary practice location

1330 N Classen Blvd Ste 307
Oklahoma City, OK 73106-6834

Mailing address

1330 N Classen Blvd Ste 307
Oklahoma City, OK 73106-6834
Phone (405) 604-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241119003631 OK Practitioner - Mental Health Counselor 1355876954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE10831OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valeria E Milstead-Benabdallah LCSW PC CurrentSince Nov 7, 2024 Accepting new patients

Locations

1330 N Classen Blvd
Ste 307
Oklahoma City, OK 73106
Phone (405) 514-3122

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346764446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 307",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-604-0180",
            "fax_number": "405-228-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 307",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-604-0180",
            "fax_number": "405-228-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LPC CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPCCANDIDATE10831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.