Tina Marie Johnson, LPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

351 N Air Depot Blvd
Suite M
Midwest City, OK 73110-1700

Phone

(405) 610-3644

Fax

(405) 610-3647

NPI assigned

Oct 7, 2015

Sex

Female

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278
  Medicare reassignment NPD (past)
• Oasis Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Midwest City, OK
  • NPI 1396141123
  NPD (past)
• Oasis Counseling Center,Inc.

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1679699169
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1922479609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD",
            "address_2": "SUITE M",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101700",
            "telephone_number": "405-610-3644",
            "fax_number": "405-610-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD",
            "address_2": "SUITE M",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101700",
            "telephone_number": "405-610-3644",
            "fax_number": "405-610-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasina Johnson, APRN, FNP-BC
• Joshua West Johnson, PT, DPT
• Latrina Johnson
• Madison Rose Johnson
• Marc Johnson, RBT
• Traci Johnson
• Brandy Johnston
• Natalie Johnston, DPT
• Akenya D Jones
• Alysia Jones

• Mental Health Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.

Verify at the official NPI Registry.