Lisa Henry-Johnson, PMHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1077291 Issued in TX

Practice address

1 Haven for Hope Way
San Antonio, TX 78207-1266

Phone

(210) 220-2100

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bexar County Board of Trustees for Mental Health Mental Retardation

  dba The Center for Health Care Services

  • Counselor
  • San Antonio, TX
  • NPI 1730134586
  NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1861605214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-834-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071266",
            "telephone_number": "210-220-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY-JOHNSON",
        "first_name": "LISA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "756186",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1077291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Catalina Henriquez
• Henry Ford Academy
• Henry H. Chu, D.D.S., P.a. (Chu Dental Group)
• Henry H. Herrera, M.D., P.a.
• Henry Vu Optometrist a Professional Corporation (Dove Creek Vision)
• Adreain Maurice Henry, OD, MA, MBA
• Aliya Ercelawn Henry
• Brandon Michael Henry
• Dana Henry
• James Henry, MD

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.