Individual provider Active NPI

Clare Conway Johnson, LPC

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1851646244
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8087 Issued in SC
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

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250307000063 TX Practitioner - Mental Health Counselor 7315468253 Reassigns benefits to 1 organization
I20251126004469 WA Practitioner - Mental Health Counselor 7315468253 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
8087SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindoula Health Inc. CurrentSince Jan 13, 2025 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

Verify at the official NPI Registry.