Individual provider Active NPI

Derrick Johnson, MS, LPC, LCDC-I

  • Mental Health Counselor
  • Pearland, TX
National Provider Identifier
1558126334
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
94209 Issued in TX
Practice address
2734 Sunrise Blvd Ste 309
Pearland, TX 77584-8709
Phone
(832) 614-4847
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94209 TX Primary

Addresses

Primary practice location

2734 Sunrise Blvd Ste 309
Pearland, TX 77584-8709

Mailing address

2500 Business Center Dr Apt 6214
Pearland, TX 77584-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260624005199 TX Practitioner - Mental Health Counselor 2365915931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2734 Sunrise Blvd
Suite 309
Pearland, TX 77584-4400

5111 Fremont Dr
Manvel, TX 77578-2314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
94209TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Counseling and Wellness Mental Health CurrentSince Jun 3, 2026 Accepting new patients

Locations

2734 Sunrise Blvd
Ste 309
Pearland, TX 77584
Phone (832) 301-8906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1558126334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BUSINESS CENTER DR APT 6214",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 SUNRISE BLVD STE 309",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848709",
            "telephone_number": "832-614-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DERRICK",
        "credential": "MS, LPC, LCDC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "94209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.