Active NPI
Katrina Denise Johnson, LPC
- Professional Counselor
- Roanoke, TX
National Provider Identifier
1699587808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85687 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lena Pope Home, Inc. | Professional | Current | Accepting new patients |
| Counseling by Penny | Professional | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.