Individual provider Active NPI

Deanne Emilie Johnson, L.E.P., L.P.C.C., PH

  • Professional Counselor
  • Encinitas, CA
National Provider Identifier
1689809394
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC1001 Issued in CA
Practice address
700 Garden View Court
Suite 200
Encinitas, CA 92011
Phone
(760) 310-5509
Fax
(760) 814-8004
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1781 CA
School Psychologist 103TS0200X L.E.P.1781 CA
Professional Counselor 101YP2500X LPCC1001 CA Primary

Addresses

Primary practice location

700 Garden View Court
Suite 200
Encinitas, CA 92011

Mailing address

700 Garden View Court
Suite 200
Encinitas, CA 92011
Phone (760) 310-5509

Other names 1

  • Dr. Deanne Dukleth Johnson Professional name

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

State licenses

LicenseStateTypeSpecialty
LPCC1001CAMDProfessional Counselor
L.E.P.1781CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1689809394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW COURT",
            "address_2": "SUITE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "760-310-5509",
            "fax_number": "760-814-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW COURT",
            "address_2": "SUITE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "760-310-5509",
            "fax_number": "760-814-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEANNE",
        "middle_name": "EMILIE",
        "name_prefix": "Dr.",
        "credential": "L.E.P., L.P.C.C., PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "1781",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "L.E.P.1781",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNE",
            "last_name": "JOHNSON",
            "middle_name": "DUKLETH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.