Individual provider Active NPI

Lesa Johnson

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1821790619
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8100 Cypresswood Dr Apt 235
Spring, TX 77379-7111
Phone
(903) 646-6845
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

8100 Cypresswood Dr Apt 235
Spring, TX 77379-7111

Mailing address

8100 Cypresswood Dr Apt 235
Spring, TX 77379-7111
Phone (903) 646-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230410001765 TX Practitioner - Clinical Social Worker 1759756570 Reassigns benefits to 3 organizations
I20241111001428 LA Practitioner - Clinical Social Worker 1759756570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62378TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 3, 2023 Accepting new patients
Supportive Care LLC CurrentSince Jun 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 2, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

303 Hollow Tree Ln
Houston, TX 77090
Phone (832) 705-8700

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

815 Peach St
Tomball, TX 77375
Phone (281) 351-5443

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1821790619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 CYPRESSWOOD DR APT 235",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797111",
            "telephone_number": "903-646-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CYPRESSWOOD DR APT 235",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797111",
            "telephone_number": "903-646-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.