Terrence Zebedee Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1552 Issued in MS

Practice address

2633 Ridgewood Rd Ste 204
Jackson, MS 39216-4976

Phone

(769) 251-5133

NPI assigned

Aug 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1891951182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 RIDGEWOOD RD STE 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164976",
            "telephone_number": "769-251-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 RIDGEWOOD RD STE 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164976",
            "telephone_number": "769-251-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2434 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046942",
            "country_code": "US",
            "telephone_number": "662-844-1717",
            "fax_number": "662-680-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERRENCE",
        "middle_name": "ZEBEDEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@iprogresscc.com",
            "affiliation": "N",
            "address_1": "2633 Ridgewood Rd Ste 204",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sidney A Johnson Jr., MD
• Stephen D Johnson, FNP
• Stephen J Johnson, LCSW
• Tameka Johnson, RD, CLC, CCP
• Tasha Johnson
• Thomas Bradley Johnson, CRNA
• Troncea Johnson
• Venessia Johnson, LCSW
• Wanda Johnson, BCFNP
• Warren Johnson

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.