Michael Clarence Johnston, MHS, LPC, CA-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005541 Issued in PA

Practice address

1843 Route 209
South Safeway Storage Complex
Brodheadsville, PA 18322

Phone

(570) 426-0096

Fax

(570) 992-1723

NPI assigned

Aug 13, 2010

Last updated

Dec 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Vision Counseling Services,LLC

  • Group Psychotherapy Psychologist
  • Brodheadsville, PA
  • NPI 1083998934
  NPD (past) Authorized official

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1780999847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 ROUTE 209",
            "address_2": "SOUTH SAFEWAY STORAGE SUITE 1",
            "city": "SCIOTA",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-426-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 ROUTE 209",
            "address_2": "SOUTH SAFEWAY STORAGE COMPLEX",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-426-0096",
            "fax_number": "570-992-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "MHS, LPC, CA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.