Organization Active NPI

Connie Johnson, LPC, Inc.

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1871792192
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14874 Issued in TX
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

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
028373101MedicaidTX
4067LCOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.