Chad Johnson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1016423 Issued in TX

Practice address

4201 W Parmer LN Ste 175
Austin, TX 78727-4109

Phone

(855) 204-2502

NPI assigned

Nov 10, 2020

Last updated

Feb 11, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Kotel Atx PLLC

  dba Heading Health

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1568055192
  Medicare reassignment Care Compare group NPD
• Senior Psychcare of Dallas I, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1942596903

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Senior Psychcare of San Antonio I, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1225324270

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Jordan & Jordan Healthcare and Management Solutions, PLLC

  dba Anchor Minds Health Solutions TX

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1548193733
  NPD
• Jordan & Jordan Healthcare and Management Solutions, PLLC

  • Psychiatry Physician
  • Austin, TX
  • NPI 1972461382
  NPD
• Kotel Atx

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1083430185
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1922600444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN STE 175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274109",
            "telephone_number": "855-204-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN STE 175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274109",
            "telephone_number": "855-204-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1016423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad David Johnson, PT
• Brandon Johnson, DMD
• Breanna Johnson, M.S. CCC-SLP
• Brittany Johnson
• Cameron Robert Johnson, DC
• Charles E Johnson, MD
• Chris W Johnson, RPH
• Christina K Johnson, PTA
• Corinne Elizabeth Johnson
• Courtney Johnson

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.