Organization Active NPI

TL Johnson Counseling Services, LLC

  • Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1467235143
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TL JOHNSON COUNSELING SERVICES, LLC
Practice address
Tracey Johnson
150 Oakland Ave. Suite 200
Rock Hill, SC 29730-4068
Phone
(803) 334-4056
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Tracey L Johnson, LISW-CPNPI 1396816385
Title
Owner
Phone
(803) 334-4056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Tracey Johnson
150 Oakland Ave. Suite 200
Rock Hill, SC 29730-4068

Mailing address

PO Box 36144
Rock Hill, SC 29732-0502
Phone (803) 334-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002000213 SC Part B Supplier - Clinic/Group Practice 8022462613 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

150 Oakland Ave
Ste 200
Rock Hill, SC 29730
Phone (803) 334-4056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1467235143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36144",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320502",
            "telephone_number": "803-334-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRACEY JOHNSON",
            "address_2": "150 OAKLAND AVE. SUITE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304068",
            "telephone_number": "803-334-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TL JOHNSON COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-334-4056",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.