Organization Active NPI

L. B. Johnson Therapeutics, PLLC

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1407604564
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
L. B. JOHNSON THERAPEUTICS, PLLC
Practice address
4780 I 55 N Ste 100
Jackson, MS 39211-5583
Phone
(281) 317-7745
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Maritza Kenita RobinsonNPI 1538730783
Title
Owner
Phone
(281) 317-7745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4780 I 55 N Ste 100
Jackson, MS 39211-5583

Mailing address

4780 I 55 N Ste 100
Jackson, MS 39211-5583
Phone (281) 317-7745

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1407604564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583",
            "telephone_number": "281-317-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583",
            "telephone_number": "281-317-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. B. JOHNSON THERAPEUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "KENITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-317-7745"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.