Active NPI
Mary Terese Johnston
- Professional Counselor
- Columbus, OH
National Provider Identifier
1376718239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0600318
- Practice address
- 1115 Bethel Rd
1St Floor
Columbus, OH 43220-2690 - Phone
- (614) 538-0353
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C0600318 | OH | Primary |
Addresses
Primary practice location
1115 Bethel Rd
1St Floor
Columbus, OH 43220-2690
Mailing address
1115 Bethel Rd
1St Floor
Columbus, OH 43220-2690
Phone (614) 538-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0600318 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1376718239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BETHEL RD",
"address_2": "1ST FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202690",
"telephone_number": "614-538-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BETHEL RD",
"address_2": "1ST FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202690",
"telephone_number": "614-538-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MARY",
"middle_name": "TERESE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C0600318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.