Active NPI
Connie Johnson, LPC, Inc.
- Professional Counselor
- Temple, TX
National Provider Identifier
1871792192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14874
- Legal business name
- CONNIE JOHNSON, LPC, INC.
- Practice address
- 601 Pendleton St
Temple, TX 76504-2947 - Phone
- (254) 742-1524
- NPI assigned
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Johnson, MA, LPC
- Title
- Psychotherapist
- Phone
- (254) 742-1524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14874 | TX | Primary |
Addresses
Primary practice location
601 Pendleton St
Temple, TX 76504-2947
Mailing address
PO Box 581
Salado, TX 76571-0581
Phone (254) 760-2960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028373101 | Medicaid | TX | |
| 4067LC | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
601 Pendleton St
Temple, TX 76504
Phone (254) 742-1524
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Temple, TX
- NPI 1578824991
-
- Professional Counselor
- Temple, TX
- NPI 1306857875
-
- Clinical Social Worker
- Austin, TX
- NPI 1487643409
-
- Professional Counselor
- Temple, TX
- NPI 1922233097
-
- Clinical Social Worker
- Temple, TX
- NPI 1942209895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1871792192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581",
"city": "SALADO",
"state": "TX",
"postal_code": "765710581",
"telephone_number": "254-760-2960",
"fax_number": "254-947-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PENDLETON ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042947",
"telephone_number": "254-742-1524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNIE JOHNSON, LPC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "254-742-1524",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028373101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4067LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.