Individual provider Active NPI

Christy Johnston, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1932280286
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00773 Issued in IA
Practice address
5525 Meredith Dr
Ste. B
Des Moines, IA 50310-2334
Phone
(515) 334-9484
Fax
(515) 334-9498
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00773 IA Primary

Addresses

Primary practice location

5525 Meredith Dr
Ste. B
Des Moines, IA 50310-2334

Mailing address

5525 Meredith Dr
Ste. B
Des Moines, IA 50310-2334
Phone (515) 334-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00773IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center Past Accepting new patients
Bertroche & Associates Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1932280286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MEREDITH DR",
            "address_2": "STE. B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102334",
            "telephone_number": "515-334-9484",
            "fax_number": "515-334-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MEREDITH DR",
            "address_2": "STE. B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102334",
            "telephone_number": "515-334-9484",
            "fax_number": "515-334-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHRISTY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.