Individual provider Active NPI

Taylor Johnson, M.A., L.P.C., M.DIV.

  • Counselor
  • Olathe, KS
National Provider Identifier
1598043903
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
T-LPC2281 Issued in KS
Practice address
11695 S Blackbob Rd
Olathe, KS 66062-1058
Phone
(913) 768-6606
Fax
(913) 768-6609
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X T-LPC2281 KS Primary
Pastoral Counselor 101YP1600X T-LPC2281 KS
Marriage & Family Therapist 106H00000X T-LPC2281 KS

Addresses

Primary practice location

11695 S Blackbob Rd
Olathe, KS 66062-1058

Mailing address

11695 S Blackbob Rd
Olathe, KS 66062-1058
Phone (913) 768-6606

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-LPC2281KSMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1598043903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621058",
            "telephone_number": "913-768-6606",
            "fax_number": "913-768-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621058",
            "telephone_number": "913-768-6606",
            "fax_number": "913-768-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "credential": "M.A., L.P.C., M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "T-LPC2281",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KS",
            "license": "T-LPC2281",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "T-LPC2281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.