Andy Johnston, PLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1920 Dunbarton Dr
Jackson, MS 39216-5001

Phone

(601) 982-5376

NPI assigned

Oct 11, 2022

Sex

Male

Sole proprietor

No

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.

• Imagine, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
  • NPI 1902052962

  Counselor

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imaginebehavioralhealth.andyjohnston@139031.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2022.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1578288601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Johnson, BCFNP
• Warren Johnson
• Wayne C Johnson Jr., M.D.
• William Blair Johnson Jr., M.D.
• William Walter Johnson, M.D.
• Brandi Davis Johnston, NURSE PRACTITIONER
• Erin A Johnston, AU.D.
• James H Johnston, MD
• William Andrew Johnston, MD
• Abbie Joiner, PT

• All providers in Jackson, MS
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.