Roger Johnson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40 Greenhouse LN
RT 321 Auxier Road
Prestonsburg, KY 41653-9180

Phone

(606) 886-6815

Fax

(606) 886-9878

NPI assigned

Oct 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1619156338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GREENHOUSE LN",
            "address_2": "RT 321 AUXIER ROAD",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539180",
            "telephone_number": "606-886-6815",
            "fax_number": "606-886-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROGER",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montana Johnson
• Nedra Johnson
• Pamela Johnson, LCSW
• Patricia Johnson
• Regina R. Johnson, BA
• Ryan Johnson
• Shannon Johnson
• Shelby Johnson
• Stacie Johnson
• Stephanie Johnson

• Mental Health Counselor in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.