Active NPI
Clare Conway Johnson, LPC
- Professional Counselor
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8087
- Practice address
- 200 Fernwood Dr
Spartanburg, SC 29307-2237 - Phone
- (864) 778-5263
- Fax
- (864) 448-1790
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8087 | SC | Primary |
Addresses
Primary practice location
200 Fernwood Dr
Spartanburg, SC 29307-2237
Mailing address
261 Greengate LN
Spartanburg, SC 29307-2211
Phone (864) 778-5263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4946
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8087 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindoula Health Inc. | Current | Accepting new patients |
Locations
1119 E West Hwy
Silver Spring, MD 20910
Phone (888) 879-9788
8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207
1999 Bryan St
Ste 900
Dallas, TX 75201
Phone (469) 809-6012
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 1
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": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1851646244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 GREENGATE LN",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293072211",
"telephone_number": "864-778-5263",
"fax_number": "864-448-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FERNWOOD DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293072237",
"telephone_number": "864-778-5263",
"fax_number": "864-448-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CLARE",
"middle_name": "CONWAY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.