Renese M. Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65174 Issued in TX

Practice address

110 N Interstate 35 Ste 315 PMB 3311
Round Rock, TX 78681-5520

Phone

(512) 270-1918

Fax

(512) 727-7720

NPI assigned

Apr 15, 2014

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: renesejohnson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD
• Courageous Counseling PLLC

  • Mental Health Counselor
  • Pflugerville, TX
  • NPI 1215504964
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1821417049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 LEONA LN",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774142096",
            "telephone_number": "512-270-1918",
            "fax_number": "512-727-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N INTERSTATE 35 STE 315 PMB 3311",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815520",
            "telephone_number": "512-270-1918",
            "fax_number": "512-727-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Redwing Way",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647123",
            "country_code": "US",
            "telephone_number": "512-379-1827",
            "fax_number": "512-727-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RENESE",
        "middle_name": "M.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65174",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821417049",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Allen Johnson, PA-C
• Joffre Edward Johnson, M.D.
• John Gordon Johnson, D.O.
• Julie Johnson, PT
• Michelle Johnson, PT
• Sadie Johnson, RN
• Stephanie Grissett Johnson, LPC, M.ED.
• Stephanie R Johnson, FNP-C
• William Kent Johnson, M.D.
• Barbara Ann Jones, F.N.P.

• Mental Health Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.