Organization Active NPI

Lynnette Johnson LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1750694253
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01060 Issued in NV
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

Updated by the provider on Oct 19, 2012

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.