Individual provider Active NPI

Luciana Johnson

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1770302903
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89503 Issued in TX
Practice address
3230 Remond Dr
Dallas, TX 75211-1619
Phone
(214) 743-1200
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89503 TX Primary

Addresses

Primary practice location

3230 Remond Dr
Dallas, TX 75211-1619

Mailing address

1350 N Westmoreland Rd
Dallas, TX 75211-1654
Phone (469) 766-5715

Other practice location 1

1350 N Westmoreland Rd
Dallas, TX 75211-1654
Phone (469) 766-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241024002788 TX Practitioner - Mental Health Counselor 0941733224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1350 N Westmoreland Rd
Metrocare Services
Dallas, TX 75211-1654
Phone (214) 743-6159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89503TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Mental Health CurrentSince Oct 2, 2025 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Sep 30, 2024 Accepting new patients

Locations

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (464) 743-6139

3230 Remond Dr
Dallas, TX 75211
Phone (214) 331-0109

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1770302903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N WESTMORELAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111654",
            "telephone_number": "469-766-5715",
            "fax_number": "214-330-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111619",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752111654",
            "country_code": "US",
            "telephone_number": "469-766-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUCIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.