Individual provider Active NPI

Dan Bernard Johnson Jr., PH.D.

  • Mental Health Counselor
  • Guyton, GA
National Provider Identifier
1609733716
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
174 Scholar Rd
Guyton, GA 31312-6240
Phone
(912) 877-2227
Fax
(912) 877-2332
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X GA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X GA
Mental Health Counselor 101YM0800X GA Primary

Addresses

Primary practice location

174 Scholar Rd
Guyton, GA 31312-6240

Mailing address

1912 Colony Park Rd
Augusta, GA 30909-4208
Phone (706) 589-3863

Other practice location 1

5618 White Bluff Rd Ste B&c
Savannah, GA 31405-5520
Phone (912) 231-7061

Other practice location 2

1912 Colony Park Rd
Augusta, GA 30909-4208
Phone (706) 589-3863

Other practice location 3

303 Fraser Dr
Hinesville, GA 31313-3712
Phone (912) 877-2227

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Crystal Malloy PHD LPC Mac Ceap LLC Mental Health PastSince Nov 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1609733716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 COLONY PARK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094208",
            "telephone_number": "706-589-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126240",
            "telephone_number": "912-877-2227",
            "fax_number": "912-877-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5618 White Bluff Rd Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055520",
            "country_code": "US",
            "telephone_number": "912-231-7061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 Colony Park Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309094208",
            "country_code": "US",
            "telephone_number": "706-589-3863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Fraser Dr",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313133712",
            "country_code": "US",
            "telephone_number": "912-877-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guyton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.