Active NPI
Thomas John Johnston, M.ED., LMP, LMHC
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1649462615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60034547
- Practice address
- 12623 NE 110TH St
Kirkland, WA 98033-4709 - Phone
- (425) 827-1144
- Fax
- (425) 827-1144
- NPI assigned
- Aug 14, 2007
- Last updated
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60034547 | WA | Primary |
| Massage Therapist | 225700000X | MA00000303 | WA |
Addresses
Primary practice location
12623 NE 110TH St
Kirkland, WA 98033-4709
Mailing address
12623 NE 110TH St
Kirkland, WA 98033-4709
Phone (425) 827-1144
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60034547 | WA | MD | Mental Health Counselor |
| MA00000303 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1649462615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12623 NE 110TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334709",
"telephone_number": "425-827-1144",
"fax_number": "425-827-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12623 NE 110TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334709",
"telephone_number": "425-827-1144",
"fax_number": "425-827-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.ED., LMP, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60034547",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00000303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.