McKinley Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9155 Issued in TX

Practice address

1700 Commerce St Ste 1400
Dallas, TX 75201-5392

Phone

(214) 760-9573

Fax

(214) 760-9623

NPI assigned

Jun 5, 2012

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

Other names 1

• Dr. Ken Johnson Professional name

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1629339767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COMMERCE ST STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015392",
            "telephone_number": "214-760-9573",
            "fax_number": "214-760-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COMMERCE ST STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015392",
            "telephone_number": "214-760-9573",
            "fax_number": "214-760-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marketa Johnson
• Mary V. Johnson, LCSW
• Matthew Johnson, CRNA
• Matthew James Johnson, D.P.M.
• McKenzie Johnson, RN
• Megan Johnson, M.ED., LPC, LCDC
• Megan Elizabeth Johnson, M.D.
• Megan Nichole Johnson
• Melanie Johnson, PT, DPT
• Melba Ruth Johnson, RN

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.