Active NPI
Edward Angus Johnston, M.S., LPC, LCAS
- Professional Counselor
- Greenville, NC
National Provider Identifier
1457580847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7472
- Practice address
- 704 Cromwell Dr
Suite B
Greenville, NC 27858-5894 - Phone
- (252) 341-4902
- Fax
- (252) 355-7947
- NPI assigned
- Jul 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1486 | NC | |
| Professional Counselor | 101YP2500X | 7472 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 7472 | NC |
Addresses
Primary practice location
704 Cromwell Dr
Suite B
Greenville, NC 27858-5894
Mailing address
316 Mary Lee CT
Winterville, NC 28590-9917
Phone (252) 341-4902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104227 | Other | NC | MEDICAID |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 7472 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374969600000",
"number": "1457580847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MARY LEE CT",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909917",
"telephone_number": "252-341-4902",
"fax_number": "252-355-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 CROMWELL DR",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585894",
"telephone_number": "252-341-4902",
"fax_number": "252-355-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "EDWARD",
"middle_name": "ANGUS",
"name_prefix": "Mr.",
"credential": "M.S., LPC, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2013-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1486",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7472",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7472",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "6104227",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.