Russell D Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-0052 Issued in AZ

Practice address

2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706

Phone

(520) 545-2137

Fax

(520) 545-2120

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Russ Johnson Other name

Medicare fee-for-service enrollment

Enrolled in AZ, WA, NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Mental Health Counselor

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, Professional

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, NY, WA

  Medicare reassignment NPD
• Stepping Up Pediatric Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1558426825
  NPD (past)
• Sunnyside Unified School District No. 12

  • Local Education Agency (LEA)
  • Tucson, AZ
  • NPI 1740378397
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1528413549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E. GINTER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 E. GINTER ROAD",
            "address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-0052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSS",
            "last_name": "JOHNSON",
            "credential": "LPC, LISAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert R Johnson, MD
• Rodney Johnson
• Roger Carl Johnson, P.T.
• Ronald Johnson
• Ronald Wayne Johnson, M.D.
• Ryan Kenji Johnson, M.D.
• Samantha Odessa Johnson, PT, DPT, ATC
• Sandra Lee Johnson, ANP
• Sara Rosenfeld Johnson, MS/CCC-SLP
• Sarah Lynne Johnson, OT

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.