Individual provider Active NPI

William Tyler Johnson

  • Professional Counselor
  • North Huntingdon, PA
National Provider Identifier
1972294882
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
12320 Route 30 Ste 11
North Huntingdon, PA 15642-2590
Phone
(412) 877-8011
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

12320 Route 30 Ste 11
North Huntingdon, PA 15642-2590

Mailing address

12320 Route 30 Ste 11
North Huntingdon, PA 15642-2590
Phone (412) 877-8011

Other practice location 1

420 Pellis Rd
Greensburg, PA 15601-4505
Phone (878) 645-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250707004006 PA Practitioner - Mental Health Counselor 2961916598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Counseling Services LLC Professional CurrentSince Jun 3, 2025 Accepting new patients

Locations

12320 State Route 30
Ste 11
North Huntingdon, PA 15642
Phone (412) 877-8011

Organizations & group practices 1

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1972294882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ROUTE 30 STE 11",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422590",
            "telephone_number": "412-877-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 ROUTE 30 STE 11",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422590",
            "telephone_number": "412-877-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Pellis Rd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156014505",
            "country_code": "US",
            "telephone_number": "878-645-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.