Active NPI
Dallas Lyman Johnson, PH.D.
- Counseling Psychologist
- Price, UT
National Provider Identifier
1831159144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4967515-2501
- Practice address
- 280 N Hospital Dr Ste 5
Price, UT 84501-4211 - Phone
- (435) 637-6348
- Fax
- (435) 637-6422
- NPI assigned
- Mar 23, 2006
- Last updated
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4967515-2501 | UT | Primary |
Addresses
Primary practice location
280 N Hospital Dr Ste 5
Price, UT 84501-4211
Mailing address
350 Crestview Dr
Price, UT 84501-2720
Phone (435) 630-3592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4967515-2501 | UT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1831159144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CRESTVIEW DR",
"city": "PRICE",
"state": "UT",
"postal_code": "845012720",
"telephone_number": "435-630-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N HOSPITAL DR STE 5",
"city": "PRICE",
"state": "UT",
"postal_code": "845014211",
"telephone_number": "435-637-6348",
"fax_number": "435-637-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DALLAS",
"middle_name": "LYMAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "4967515-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.