NPIMap

Organization Active NPI

Rhonda M. Johnson PHD. PLLC

Doing business as Center for Counseling & Family Relationships

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1700057114
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RHONDA M. JOHNSON PHD. PLLC
Doing business as
Center for Counseling & Family Relationships
Practice address
4500 Mercantile Plaza Dr
Suite 307
Fort Worth, TX 76137
Phone
(817) 232-9400
Fax
(817) 232-9403
NPI assigned
Mar 13, 2008
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Rhonda M. Johnson, PHDNPI 1962599985
Title
Owner
Phone
(817) 232-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr
Suite 307
Fort Worth, TX 76137

Mailing address

4500 Mercantile Plaza Dr
Suite 307
Fort Worth, TX 76137
Phone (817) 232-9400

Other identifiers 1

IdentifierTypeStateIssuer
3876625-01MedicaidTX

Other names 1

  • Center for Counseling & Family Relationships Doing business as

National Provider Directory

National Provider Directory

Locations

4500 Mercantile Plaza Dr
Ste 307
Ft Worth, TX 76137
Phone (817) 232-9400

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1700057114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR",
            "address_2": "SUITE 307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-232-9400",
            "fax_number": "817-232-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR",
            "address_2": "SUITE 307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-232-9400",
            "fax_number": "817-232-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA M. JOHNSON PHD. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-232-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3876625-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Counseling & Family Relationships",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Counseling & Family Relationships",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.