Individual provider Active NPI

Cambre Shonbrae Johnson

  • Professional Counselor
  • Cedar Park, TX
National Provider Identifier
1457848434
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84423 Issued in TX
Practice address
201 S Lakeline Blvd Ste 602
Cedar Park, TX 78613-2747
Phone
(254) 421-4195
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 84423 TX Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

201 S Lakeline Blvd Ste 602
Cedar Park, TX 78613-2747

Mailing address

6109 Fair Hill Dr
Temple, TX 76502-1982

Other practice location 1

1020 Trimmier Rd
Killeen, TX 76541-8029
Phone (254) 760-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84423TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Feb 20, 2025 Accepting new patients
Family Care Center, LLC Professional CurrentSince Feb 20, 2025 Accepting new patients

Locations

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1457848434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 FAIR HILL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LAKELINE BLVD STE 602",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132747",
            "telephone_number": "254-421-4195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Trimmier Rd",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765418029",
            "country_code": "US",
            "telephone_number": "254-760-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAMBRE",
        "middle_name": "SHONBRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84423",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.