Roxie Johnson, CPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130

Phone

(702) 778-5300

Fax

(702) 778-5301

NPI assigned

Jul 11, 2018

Sex

Female

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

Practice roles

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.

• Clearwaters Family Guidance and Wellness Centers LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1730489154
  NPD (past)
• Clearwaters Family Guidance and Wellness Centers,LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1326482514
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1619463833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROXIE",
        "credential": "CPC INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronique Johnson
• Ronnie Lincoln Johnson
• Rosaline Johnson
• Rosemary Johnson
• Rossie Johnson
• Russell Johnson, MD
• Russell P Johnson, PA-C
• Samantha Johnson
• Samona Johnson
• Sarah Johnson

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.