Individual provider Active NPI

Sylvia Johnson

  • Professional Counselor
  • Magnolia, AR
National Provider Identifier
1841603487
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
100 E University
Magnolia, AR 71753-2181
Phone
(870) 235-4911
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1705308 AR
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

100 E University
Magnolia, AR 71753-2181

Mailing address

1163 Columbia Road 26
Emerson, AR 71740-9532
Phone (870) 904-3533

Other practice location 1

1163 Columbia Road 26
Emerson, AR 71740-9532
Phone (870) 904-3533

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

State licenses

LicenseStateTypeSpecialty
P1705308ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1841603487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COLUMBIA ROAD 26",
            "city": "EMERSON",
            "state": "AR",
            "postal_code": "717409532",
            "telephone_number": "870-904-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E UNIVERSITY",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532181",
            "telephone_number": "870-235-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Columbia Road 26",
            "address_purpose": "LOCATION",
            "city": "Emerson",
            "state": "AR",
            "postal_code": "717409532",
            "country_code": "US",
            "telephone_number": "870-904-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SYLVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1705308",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.