Active NPI
Robert Harrell Johnson, LPC
- Professional Counselor
- Terrell, TX
National Provider Identifier
1891853735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12259
- Practice address
- 400 Airport Rd
Terrell, TX 75160-4302 - Phone
- (972) 524-4159
- Fax
- (972) 563-5321
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12259 | TX | Primary |
Addresses
Primary practice location
400 Airport Rd
Terrell, TX 75160-4302
Mailing address
400 Airport Rd
P O Box 747
Terrell, TX 75160
Phone (972) 524-4159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8111 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12259 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Behavioral Health Authority | Professional | Current | Accepting new patients |
| North Texas Behavioral Health Authority | Professional | Past | Accepting new patients |
Locations
8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407
108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Dallas, TX
- NPI 1407488463
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891853735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AIRPORT RD",
"address_2": "P O BOX 747",
"city": "TERRELL",
"state": "TX",
"postal_code": "75160",
"telephone_number": "972-524-4159",
"fax_number": "972-563-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AIRPORT RD",
"city": "TERRELL",
"state": "TX",
"postal_code": "751604302",
"telephone_number": "972-524-4159",
"fax_number": "972-563-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "HARRELL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terrell, TX
- Colleen Jaurequi
- JMC Dental PLLC (The Terrell Dentist)
- Smitha Elizabeth John
- Johnson Chiropractic Health Center
- Eulalia Darlene Johnson, DC
- Melody Rene Julian, RN
- Junior Osinde DDS Family Dentistry PLLC
- Kaufman Co Senior Citizens Services Inc
- Leelamani Nagapushpa Kaza, M.D.
- John Patrick Kegerreis, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.