Individual provider Active NPI

Emma Noelle Johnson, M.S., LMFT-CANDIDATE

  • Marriage & Family Therapist
  • Stillwater, OK
National Provider Identifier
1467272427
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2224 W 12TH Ave
Stillwater, OK 74074-5154
Phone
(405) 377-3380
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2224 W 12TH Ave
Stillwater, OK 74074-5154

Mailing address

905 N Dryden Cir
Stillwater, OK 74075-7111
Phone (720) 277-7593

Other practice location 1

411 W Matthews Ave
Stillwater, OK 74075-7517
Phone (405) 369-4701

Other names 1

  • Emma Johnson Austin Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Payne County Youth Services, Inc. PastSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1467272427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N DRYDEN CIR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757111",
            "telephone_number": "720-277-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745154",
            "telephone_number": "405-377-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Matthews Ave",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740757517",
            "country_code": "US",
            "telephone_number": "405-369-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMMA",
        "middle_name": "NOELLE",
        "credential": "M.S., LMFT-CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "AUSTIN",
            "middle_name": "JOHNSON",
            "credential": "M.S., LMFT-CANDIDATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.