Mary M Johnston, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3380 Issued in KY

Practice address

2113 State St
1St Floor
New Albany, IN 47150-4961

Phone

(812) 949-3505

Fax

(812) 949-3505

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Associates of Southern Indiana, PSC

  • Psychiatry Physician
  • New Albany, IN
  • NPI 1467565143

  Clinical

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1689690471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 LAVISTA WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192618",
            "telephone_number": "502-969-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 STATE ST",
            "address_2": "1ST FLOOR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504961",
            "telephone_number": "812-949-3505",
            "fax_number": "812-949-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3380",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004819A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200189820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Johnson, LMHC
• Christine Johnson
• Revon Yvette Johnson
• Shellbie Lauren Johnson
• Stephanie Denise Johnson, PTA
• Kalynn Jolly, APRN, FNP-C
• Amy Jones, R.PH.
• Brittany Jones
• Erin Marie Jones, FNP-BC
• Melissa A Jones

• Clinical Social Worker in New Albany, IN
• Providers in New Albany, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.