Johnny Faulkner, PH.D., LMFT, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P2308023 Issued in AR

Practice address

211 E 4TH St
Russellville, AR 72801-5133

Phone

(479) 858-8899

NPI assigned

Apr 4, 2013

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Haelan Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Russellville, AR
  • NPI 1346012382
  NPD Authorized official
• Words of Peace Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1821525932
  NPD Authorized official

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1922341353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 4TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015133",
            "telephone_number": "479-858-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 4TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015133",
            "telephone_number": "479-858-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "JOHNNY",
        "credential": "PH.D., LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "M2308005",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P2308023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Eye Care of Russellville
• Heaven Farmer
• Symphony Farmer
• Elizabeth Farrington, RECOVERY ASSISTANT
• Andrew Faught, RECOVERY ASSISTANT
• James Fehil
• Ronald Ferguson
• Sarah Lorraine Fesmire
• Elizabeth Lucille Fewkes
• Ragen E Fiddler, MS, CFY-SLP

• Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.