NPIMap

Organization Active NPI

Davidson Family Therapy

  • Mental Health Counselor
  • Davidson, NC
National Provider Identifier
1710537899
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DAVIDSON FAMILY THERAPY
Practice address
709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Phone
(336) 209-2884
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Renee Johnson, LPCNPI 1578931333
Title
Co-Owner
Phone
(336) 209-2884

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

709 Northeast Dr Ste 22
Davidson, NC 28036-7425

Mailing address

709 Northeast Dr Ste 22
Davidson, NC 28036-7425
Phone (336) 209-2884

Other identifiers 1

IdentifierTypeStateIssuer
1578931333OtherNCRENEE JOHNSON, LPC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjohnson@davidsonfamilytherapy.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1710537899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "336-209-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 22",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "336-209-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-209-2884",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENEE JOHNSON, LPC",
            "identifier": "1578931333",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjohnson@davidsonfamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email- Hippa Compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "709 Northeast Dr Ste 22",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280367425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.