Gary Allen Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13176 Issued in TX

Practice address

3304 Terrace Ave
Midland, TX 79707-5819

Phone

(432) 940-1011

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Rural Health Clinic/Center
  • La Grange, TX
  • NPI 1518536309
  NPD
• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864

  Professional

  NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1942490222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 DUVALL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418026",
            "telephone_number": "325-227-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 TERRACE AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075819",
            "telephone_number": "432-940-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calma Johnson
• Cassandra Jane Johnson
• Charlotte Winnie Johnson
• Dominique Johnson
• Gail Irene Johnson, M.D.
• Jaci Johnson
• Julia Johnson, MSN, APRN, FNP-BC
• Premila Lakshmi Singh Johnson, MD
• Sarah Elizabeth Johnson, AU.D.
• Stephanie Ann Johnson

• Professional Counselor in Midland, TX
• Providers in Midland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.