Individual provider Active NPI

Lynda R Johnson, LPCS

  • Professional Counselor
  • Duncanville, TX
National Provider Identifier
1366778151
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63935 Issued in TX
Practice address
1106 Santa Fe TRL
Ste 9
Duncanville, TX 75137-3063
Phone
(469) 600-5056
Fax
(972) 863-3263
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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 63935 TX Primary

Addresses

Primary practice location

1106 Santa Fe TRL
Ste 9
Duncanville, TX 75137-3063

Mailing address

1106 Santa Fe TRL
Ste 9
Duncanville, TX 75137-3063
Phone (469) 600-5056

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
I20241126001022 TX Practitioner - Mental Health Counselor 3779568829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling & Consulting Services PLLC CurrentSince Aug 24, 2024 Accepting new patients
LJ Psychological Services Past Accepting new patients
LJ Psychological Past Accepting new patients

Organizations & group practices 3

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1366778151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SANTA FE TRL",
            "address_2": "STE 9",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373063",
            "telephone_number": "469-600-5056",
            "fax_number": "972-863-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SANTA FE TRL",
            "address_2": "STE 9",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373063",
            "telephone_number": "469-600-5056",
            "fax_number": "972-863-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNDA",
        "middle_name": "R",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.