Individual provider Active NPI

Robert J. Johnson, SAP, MAC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Centennial, CO
National Provider Identifier
1447550785
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD236 Issued in CO
Practice address
9200 E Mineral Ave Ste 250
Centennial, CO 80112-3459
Phone
(303) 798-2196
Fax
(303) 730-2418
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD236 CO Primary

Addresses

Primary practice location

9200 E Mineral Ave Ste 250
Centennial, CO 80112-3459

Mailing address

9200 E Mineral Ave Ste 250
Centennial, CO 80112-3459
Phone (303) 798-2196

Other identifiers 1

IdentifierTypeStateIssuer
05735017MedicaidCO

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD236COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Outlook Recovery Services, LLC Addiction (Substance Use Disorder) CurrentSince Sep 3, 2025 Accepting new patients
A New Outlook Recovery Services, LLC CurrentSince Jul 18, 2019 Accepting new patients
A New Outlook Counseling Services, LLC Past Accepting new patients

Locations

9200 E Mineral Ave
Ste 250
Centennial, CO 80112
Phone (303) 798-2196

1510 W Canal Ct
Ste 2500
Littleton, CO 80120
Phone (303) 798-2196

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1447550785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 E MINERAL AVE STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123459",
            "telephone_number": "303-798-2196",
            "fax_number": "303-730-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 E MINERAL AVE STE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123459",
            "telephone_number": "303-798-2196",
            "fax_number": "303-730-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "SAP, MAC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05735017",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.