Erin Wall Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

68695 Issued in TX

Practice address

2915 South Burleson Blvd
Burleson, TX 76028-1445

Phone

(817) 447-3001

Fax

(817) 447-3299

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Mind Above Matter, LLC

  dba MAM Johnson County Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burleson, TX
  • NPI 1255741104
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1639580582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 S INTERSTATE 35 W",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281445",
            "telephone_number": "817-447-3001",
            "fax_number": "817-447-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 SOUTH BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281445",
            "telephone_number": "817-447-3001",
            "fax_number": "817-447-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIN",
        "middle_name": "WALL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jochum Biffel, LMT
• Joe M Etter DO PA (Burleson Old Town Medical Center)
• John a. Malonis, M.D., P.a. (Tarrant County Bone and Joint)
• John Barroso DDS, PC
• John P Shea MD PA (Shea Ear, Nose & Throat Clinic)
• Hannah Johnson
• Jade Adriana Johnson, DDS
• Lance Johnson, MD
• Mandy Johnson, OT
• Jimmy Dale Jones, R.PH.

• Mental Health Counselor in Burleson, TX
• Providers in Burleson, 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 May 14, 2014; 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.