Jonathen Robert Johnson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP2955 Issued in NV

Practice address

2965 S Jones Blvd Ste C-1
Las Vegas, NV 89146-5629

Phone

(702) 471-0420

NPI assigned

Feb 14, 2013

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

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.

• Genesis New Beginnings LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1144850736
  Medicare reassignment NPD
• Mindfulness Empowerment Therapy

  • Mental Health Counselor
  • Pahrump, NV
  • NPI 1720859960
  NPD Authorized official
• Mindfulness Empowerment LLC

  • Community/Behavioral Health Agency
  • Roseburg, OR
  • NPI 1790591717
  NPD Authorized official
• Genesis New Beginnings LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1760213177
  NPD
• Silver State Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1821630328
  NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1942540786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 REDROCK DR",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890486418",
            "telephone_number": "702-497-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 S JONES BLVD STE C-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465629",
            "telephone_number": "702-471-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Red Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485480",
            "country_code": "US",
            "telephone_number": "702-497-7639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JONATHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP2955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhconda Johnson
• Jillian Johnson
• John Johnson
• Johnnetta Johnson
• Johnny Edward Johnson Jr.
• Jonathon Charles Johnson
• Jordan Johnson
• Jordin Johnson
• Joshua Johnson
• Joshua Johnson

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.