Gary L Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1109 Issued in TN

Practice address

1200 Cedar LN
Tullahoma, TN 37388-2255

Phone

(931) 247-4764

NPI assigned

Dec 22, 2018

Last updated

Dec 22, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545436800000",
    "number": "1689146078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CEDAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882255",
            "telephone_number": "931-247-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CEDAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882255",
            "telephone_number": "931-247-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-22",
        "last_updated": "2018-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel C Wieczorek DDS PC
• John D Patsimas MD
• April Rose Johnson, OTR/L
• Cordelia Johnson
• Emaly Mae Johnson
• Joshua Dean Johnson
• Michael Frederick Johnson, P.A.-C
• Tasha Johnson
• Emily Elizabeth Jones, AU.D.
• Joseph Richard Thomasson III MD LLC

• Marriage & Family Therapist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2018; 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.