Fedora Wynn Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78987 Issued in TX

Practice address

10868 Reef Sands Dr
El Paso, TX 79924-1123

Phone

(915) 929-0242

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1386212942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10868 REEF SANDS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241123",
            "telephone_number": "915-929-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10868 REEF SANDS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241123",
            "telephone_number": "915-929-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FEDORA",
        "middle_name": "WYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Takeyama Johnson, APRN-CNP
• Ashely Johnson
• Athulya Johnson, MD
• Cara Racheal Johnson, FNP-C
• Christopher Johnson, O.T.
• Keith R Johnson, M.D. P.A.
• Kenyua N Johnson, FNP-BC
• Lisa Johnson, RN
• Mandy Johnson, MS, RD, LD
• Marilyn Faye Johnson, M.S. CCC/SLP

• Professional Counselor in El Paso, TX
• Providers in El Paso, 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 11, 2021; 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.