Travis Johnson, LPC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4097 Issued in LA

Practice address

5200 Lapalco Blvd
Suite # 2
Marrero, LA 70072-4254

Phone

(504) 265-8115

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

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

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.johnson.1@12324.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Community Health Care Centers, Inc

  dba InclusivCare

  • Federally Qualified Health Center (FQHC)
  • Avondale, LA
  • NPI 1558419275
  Medicare reassignment NPD
• T.Johnson & Associates, LLC

  • Professional Counselor
  • Marrero, LA
  • NPI 1730447384
  NPD (past) Authorized official
• Jefferson Community Health Care Centers, Inc

  dba Inclusivcare

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1215612742
  NPD
• Jefferson Community Health Care Centers, Inc

  dba InclusivCare

  • Federally Qualified Health Center (FQHC)
  • Lafitte, LA
  • NPI 1467792713
  NPD

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1356611719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 LAPALCO BLVD",
            "address_2": "SUITE # 2",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724254",
            "telephone_number": "504-265-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 LAPALCO BLVD",
            "address_2": "SUITE # 2",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724254",
            "telephone_number": "504-265-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "722",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lahauma Johnson
• Nicole Rochshel Johnson
• Rolanda Johnson
• Shermaine Amanda Johnson
• Terran Hale Johnson, MN, FNP-C
• Yelena Louise Johnson, PHD
• Brandon Jones
• Brionne Aldora Jones
• Dalia Jones
• Jasma Jones

• Mental Health Counselor in Marrero, LA
• Providers in Marrero, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.