Active NPI
Lynnette Johnson LLC
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1750694253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01060
- Legal business name
- LYNNETTE JOHNSON LLC
- Practice address
- 1641 E Flamingo Rd
Suite 7
Las Vegas, NV 89119-5257 - Phone
- (702) 434-1564
- Fax
- (702) 434-6704
- NPI assigned
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynnette Elaine Johnson, MA, MFT, LADC
- Title
- Director
- Phone
- (702) 434-1564
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01060 | NV | Primary |
| Community/Behavioral Health Agency | 251S00000X | 01060 | NV |
Addresses
Primary practice location
1641 E Flamingo Rd
Suite 7
Las Vegas, NV 89119-5257
Mailing address
1641 E Flamingo Rd
Suite 7
Las Vegas, NV 89119-5257
Phone (702) 434-1564
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1750694253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 E FLAMINGO RD",
"address_2": "SUITE 7",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195257",
"telephone_number": "702-434-1564",
"fax_number": "702-434-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 E FLAMINGO RD",
"address_2": "SUITE 7",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195257",
"telephone_number": "702-434-1564",
"fax_number": "702-434-6704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNNETTE JOHNSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LYNNETTE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-434-1564",
"authorized_official_credential": "MA, MFT, LADC"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01060",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "01060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.