Jeremiah Johnson LCPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JEREMIAH JOHNSON LCPC LLC

Practice address

1505 Kasold Dr Ste 8
Lawrence, KS 66047-1601

Phone

(785) 542-9110

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremiah Johnson, MA, LCPCNPI 1689938771

Title

Owner/Provider

Phone

(785) 542-9110

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremiah Johnson, B.S., M.A., LCPC

  • Professional Counselor
  • Lawrence, KS
  • NPI 1689938771

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1932977006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 KASOLD DR STE 8",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471601",
            "telephone_number": "785-542-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 KASOLD DR STE 8",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471601",
            "telephone_number": "785-542-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH JOHNSON LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "785-542-9110",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.