Eric Blake Johnstun, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-23630 Issued in AZ

Practice address

4864 E Baseline Rd Ste 106
Mesa, AZ 85206-4629

Phone

(480) 877-1486

NPI assigned

Jan 23, 2025

Sex

Male

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

Locations

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.

• Stories Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1720636392
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1669284048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 W BALSAM DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483960",
            "telephone_number": "480-353-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-877-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTUN",
        "first_name": "ERIC",
        "middle_name": "BLAKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Johnston, D.D.S.
• Kristi Kim Johnston, R.N., B.S.N.
• Shane M Johnston, O.D.
• Tinisha Lynn Johnston, RN
• Jacqueline J. Johnstone, CNM
• Join Our Youth Inc
• Warren Joiner
• Renee Joines
• Jolex @ Obispo
• B Jeffrey Jolley, D.C.

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.