Individual provider Active NPI

Katrina Denise Johnson, LPC

  • Professional Counselor
  • Roanoke, TX
National Provider Identifier
1699587808
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85687 Issued in TX
Practice address
10600 Dunham Rd
Roanoke, TX 76262-6534
Phone
(817) 255-2652
Fax
(817) 255-2657
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 85687 TX Primary

Addresses

Primary practice location

10600 Dunham Rd
Roanoke, TX 76262-6534

Mailing address

4124 Eldridge St
Fort Worth, TX 76107-7221

Other practice location 1

4545 Bellaire Dr S Ste 6
Fort Worth, TX 76109-1811
Phone (817) 657-1115

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3200 Sanguinet St
Fort Worth, TX 76107-5355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85687TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lena Pope Home, Inc. Professional CurrentSince Jul 2, 2026 Accepting new patients
Counseling by Penny Professional PastSince Jan 26, 2025 Accepting new patients

Locations

10600 Dunham Rd
Roanoke, TX 76262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1699587808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 ELDRIDGE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 DUNHAM RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626534",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Bellaire Dr S Ste 6",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761091811",
            "country_code": "US",
            "telephone_number": "817-657-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATRINA",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, TX

Sources for this page

Verify at the official NPI Registry.