Individual provider Active NPI

Christine Elizabeth Johnson, LPC

  • Mental Health Counselor
  • Claremore, OK
National Provider Identifier
1861147787
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10526 Issued in OK
Practice address
1218 N Florence Ave
Claremore, OK 74017-3109
Phone
(918) 283-4388
Fax
(918) 283-4390
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10526 OK Primary

Addresses

Primary practice location

1218 N Florence Ave
Claremore, OK 74017-3109

Mailing address

1218 N Florence Ave Ste B
Claremore, OK 74017-3755
Phone (918) 283-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20240208000866 OK Practitioner - Mental Health Counselor 6800247222 Reassigns benefits to 1 organization
I20240807002956 TX Practitioner - Mental Health Counselor 6800247222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, shared by 35 NPIs, 212 clinicians

Practice addresses (Care Compare)

1115 E Tyler St
Athens, TX 75751-2145
Phone (903) 292-5015

1501 SE 1St St
Mineral Wells, TX 76067-5618
Phone (940) 468-4080

220 S Van Buren St
Enid, OK 73703-5812
Phone (580) 234-9355

2501 N 14TH St
Ponca City, OK 74601-1734
Phone (580) 749-5076

2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533

3201 University Dr E
Bryan, TX 77802-3481
Phone (979) 703-1832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Aug 5, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 5, 2024 Accepting new patients
DCS Medical PA CurrentSince Jul 25, 2024 Accepting new patients
DCS Medical PA CurrentSince Jul 25, 2024 Accepting new patients
Red Hawk Behavioral Health LLC Mental Health PastSince Apr 17, 2022 Accepting new patients
DCS Medical PA Past Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

2501 N 14th St
Ponca City, OK 74601
Phone (580) 749-5076

1115 E Tyler St
Ste 135
Athens, TX 75751

371 Mercedes St
Benbrook, TX 76126
Phone (817) 448-8114

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

607 E Malloy Bridge Rd
Seagoville, TX 75159
Phone (469) 908-5018

Organizations & group practices 6

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1861147787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N FLORENCE AVE STE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173755",
            "telephone_number": "918-283-4388",
            "fax_number": "918-283-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173109",
            "telephone_number": "918-283-4388",
            "fax_number": "918-283-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.