Courtney Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

93862 Issued in TX

Practice address

1058 Asher Way Ste 400
Tyler, TX 75703-6076

Phone

(903) 922-6667

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1598246092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 AN COUNTY ROAD 404",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758031548",
            "telephone_number": "903-922-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 ASHER WAY STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036076",
            "telephone_number": "903-922-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2104098",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace J Johnson
• Carolyn Johnson
• Carolyn Johnson, MSN, APRN, FNP-C
• Chavaletta Johnson
• Christopher Harrell Johnson
• Crystal Duane Johnson, M.S.
• David Michael Johnson, O.D.
• Denetrius Johnson
• Dennis Keith Johnson, DDS
• Gregor Johnson

• Mental Health Counselor in Tyler, TX
• Providers in Tyler, 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 Feb 8, 2024; 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.