Daxton Mark Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5296 S 300 W
Salt Lake City, UT 84107-4767

Phone

(801) 921-7854

NPI assigned

Apr 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Living Waters Counseling LLC

  • Clinical Psychologist
  • Murray, UT
  • NPI 1295497873
  Medicare reassignment NPD
• SL-Center of Revitalizing Psychiatry LLC

  • Psychiatry Physician
  • Murray, UT
  • NPI 1194691931

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1720775448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 E AMERICAN WAY UNIT 9",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056316",
            "telephone_number": "801-864-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5296 S 300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074767",
            "telephone_number": "801-921-7854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 E Vine St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841212197",
            "country_code": "US",
            "telephone_number": "801-639-9833",
            "fax_number": "801-639-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAXTON",
        "middle_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Johnson, CSW
• Christopher S Johnson, D.D.S.
• Clark Woodrow Johnson, M.D.
• Corinne Johnson, LCSW
• Courtney Jillian Johnson, OTR/L
• Dylan Johnson
• E Brandon Johnson
• Emily Johnson, MD
• Emma Johnson, DPT
• Eric Johnson, M.D.

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.

Verify at the official NPI Registry.