Ray C. Johnson, MS, LPC, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC - 11495 Issued in AZ

Practice address

5340 N 12TH St
Phoenix, AZ 85014-2903

Phone

(602) 274-0312

Fax

(602) 274-0312

NPI assigned

Jun 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1467772194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142903",
            "telephone_number": "602-274-0312",
            "fax_number": "602-274-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142903",
            "telephone_number": "602-274-0312",
            "fax_number": "602-274-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAY",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC - 11495",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC - 10960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J. Johnson, N.N.P.
• Paula Ann Johnson I, LMSW
• Philip Shawn Johnson, DDS
• Quinnisha Johnson
• Raquel Johnson, LPC
• Regina Johnson
• Richard Johnson, MD
• Richard P Johnson Jr., MD
• Roshelle Annette Johnson, LPC
• Ryan Elizabeth T Johnson, LMFT

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.