Tracy Camille Johnson, M.S., CCC-SLP, CLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117491 Issued in TX

Practice address

7302 Crystalbrook Dr
Austin, TX 78724-3313

Phone

(708) 537-3136

Fax

(512) 222-4330

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Buttercup Therapy Services, PLLC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1205566528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1447914007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 CRYSTALBROOK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787243313",
            "telephone_number": "737-781-3946",
            "fax_number": "512-222-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 CRYSTALBROOK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787243313",
            "telephone_number": "708-537-3136",
            "fax_number": "512-222-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACY",
        "middle_name": "CAMILLE",
        "credential": "M.S., CCC-SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117491",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "352442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALPP-CLC",
            "identifier": "352442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR- SLP",
            "identifier": "117491",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA- CCC",
            "identifier": "1414916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy D. Johnson, RN
• Sydney K Johnson, RD
• Sylvia Larkin Johnson, MS
• Theresa Marie Johnson, RDH
• Todd Richard Johnson, MA, LPC
• Venecia Rena Johnson, LMSW
• Venenzia Lynn Johnson, MSSW, LCSW
• Viki Delane Johnson, SLP
• Wayne Beasley Johnson II, LMSW
• William R. Johnson, DDS

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.