Individual provider Active NPI

Brian L. Johnson, MA, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1437475035
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3524 Issued in OK
Practice address
1017 NW 6TH Street
Oklahoma City, OK 73106-7202
Phone
(405) 842-7284
Fax
(405) 418-0324
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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 3524 OK Primary

Addresses

Primary practice location

1017 NW 6TH Street
Oklahoma City, OK 73106-7202

Mailing address

1017 NW 6TH Street
Oklahoma City, OK 73106-7202
Phone (405) 842-7284

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3524OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Professional Counseling LLC PastSince Feb 4, 2013 Accepting new patients
Pathways Treatment Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1437475035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 NW 6TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067202",
            "telephone_number": "405-842-7284",
            "fax_number": "405-418-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 NW 6TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067202",
            "telephone_number": "405-842-7284",
            "fax_number": "405-418-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.