Organization Active NPI

Johnson Christian Counseling Incorporated

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1669166013
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOHNSON CHRISTIAN COUNSELING INCORPORATED
Practice address
4100 E Piedras Dr Ste 140
San Antonio, TX 78228-1425
Phone
(210) 719-0237
Fax
(210) 547-0256
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Travis Johnson Sr., M.A.,LPCNPI 1487323820
Title
Owner
Phone
(210) 719-0237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4100 E Piedras Dr Ste 140
San Antonio, TX 78228-1425

Mailing address

5118 Green Coral
San Antonio, TX 78223-4543
Phone (210) 719-0237

Other names 1

  • Johnson Christian Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119000442 TX Part B Supplier - Clinic/Group Practice 4880046481 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1669166013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 GREEN CORAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234543",
            "telephone_number": "210-719-0237",
            "fax_number": "210-547-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281425",
            "telephone_number": "210-719-0237",
            "fax_number": "210-547-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHRISTIAN COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-719-0237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.A.,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.