Joel Jaime Johnson Jr., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16111 Issued in TX

Practice address

1165 E. Main
Alice, TX 78332

Phone

(361) 664-9587

Fax

(361) 777-0610

NPI assigned

May 8, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Coastal Plains Community MHMR Center

  • Family Medicine Physician
  • Portland, TX
  • NPI 1750085494
  NPD
• Coastal Plains Community MHMR Center

  dba Coastal Plains Community Center

  • Case Manager/Care Coordinator
  • Portland, TX
  • NPI 1861544124
  NPD
• Coastal Plains Community MHMR Center

  dba Coastal Plains Community Center

  • Psychiatry Physician
  • Portland, TX
  • NPI 1962552109
  NPD
• Coastal Plains Community MHMR Center

  dba Coastal Plains Community Center

  • Mental Health Counselor
  • Portland, TX
  • NPI 1114057700
  NPD (past)
• Coastal Plains Community MHMR Center

  dba Coastal Plains Community Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, TX
  • NPI 1194104026
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568675981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARRIOTT DRIVE",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "361-777-3991",
            "fax_number": "361-777-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E. MAIN",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-664-9587",
            "fax_number": "361-777-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOEL",
        "middle_name": "JAIME",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11315003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinite PHC,LLC
• Innovation in Womens Health PLLC
• Isd Renal Inc (Alice Renal Center)
• J Barnes DO PA (The Women's Health Center of Alice)
• Jaroslav Dolezal D.D.S.,P.a.
• Jon F. Manjarris, M.D.,P.a.
• Jose Perez MD
• Nicole Marie Juarez, LCDC, LPC
• Jubilee Personal Home Care, LLC
• Teresa R Just, MS, CCC-SLP

• Mental Health Counselor in Alice, TX
• Providers in Alice, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.