Roy Alan Johnston, L.I.S.A.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11403 Issued in AZ

Practice address

4041 N. Central Ave
Building C
Phoenix, AZ 85012-3133

Phone

(602) 279-5262

Fax

(602) 279-5390

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: roy.johnston.p1@direct.nachci.nextgenshare.com

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1760681985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N. CENTRAL AVE",
            "address_2": "BUILDING C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123133",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N. CENTRAL AVE",
            "address_2": "BUILDING C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123133",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "L.I.S.A.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC11403",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910217",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Johnston, P.T., D.P.T.
• Molly Mae Johnston, RN
• Monica Joy Johnston, DPT
• Nicholas Johnston, DPT, PT, CSCS
• Rebecca Johnston
• Sharon Rae Johnston, MD
• Stephanie Johnston, NP
• Victoria Johnston
• Jerry Roy Johnstone, L.M.T.
• Lesley Helen Johnstone, MD

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.