Active NPI
Dana Catherine Johnson, LPC
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1558820019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 77829
- Practice address
- 1175 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409 - Phone
- (214) 940-9089
- Fax
- (469) 314-8706
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 77829 | TX | Primary |
Addresses
Primary practice location
1175 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409
Mailing address
1175 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409
Phone (214) 940-9089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77829 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Psychological Assessments, PLLC | Multi-Specialty | Past | Accepting new patients |
| Dallas Therapeutic Services PLLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1558820019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 KINWEST PKWY",
"address_2": "SUITE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750633409",
"telephone_number": "214-940-9089",
"fax_number": "469-314-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 KINWEST PKWY",
"address_2": "SUITE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750633409",
"telephone_number": "214-940-9089",
"fax_number": "469-314-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANA",
"middle_name": "CATHERINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "77829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.