Johnny S Tock, MS, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60650182 Issued in WA

Practice address

2002 156TH Ave NE Ste 100
Bellevue, WA 98007-3827

Phone

(971) 330-3949

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Restart Life, PLLC

  • Psychiatric Residential Treatment Facility
  • Duvall, WA
  • NPI 1801166103
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1861002925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 10TH ST",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751921",
            "telephone_number": "971-330-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 156TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073827",
            "telephone_number": "971-330-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCK",
        "first_name": "JOHNNY",
        "middle_name": "S",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "60650182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Massage Group LLC
• Steven To
• Stephanie J Tobey-Breunig, PA-C
• Tamara Marie Tobias, ARNP
• Rachel Chiyoko Tochiki
• Todd Lawson, PS
• Tokiko Mito Poppe DDS PS
• Marisol Toliver-Sokol
• Carrie Jayne Tollefson, R.D.
• Barbara Tolliver-Craig, R.PH.

• Professional Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.