Individual provider Active NPI

Y. Diana Johnson, M.A., L.C.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
National Provider Identifier
1477104511
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15020 Issued in TX
Practice address
7901 Cameron Rd Ste 2-139
Austin, TX 78754-3802
Phone
(512) 910-5188
NPI assigned
Sep 20, 2019
Last updated
Nov 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15020 TX Primary

Addresses

Primary practice location

7901 Cameron Rd Ste 2-139
Austin, TX 78754-3802

Mailing address

PO Box 144031
Austin, TX 78714-4031
Phone (512) 910-5188

Other names 1

  • Yolanda Diana Johnson 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 Arts

State licenses

LicenseStateTypeSpecialty
15020TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K Johnson Enterprises LLC Addiction (Substance Use Disorder) CurrentSince Mar 1, 2020 Accepting new patients

Locations

7901 Cameron Rd
Ste 2-139
Austin, TX 78754
Phone (512) 910-5188

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1477104511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144031",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787144031",
            "telephone_number": "512-910-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 CAMERON RD STE 2-139",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543802",
            "telephone_number": "512-910-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "Y. DIANA",
        "credential": "M.A., L.C.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "JOHNSON",
            "middle_name": "DIANA",
            "credential": "M.A. L.C.D.C..",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; 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.