Gryphon L Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2304857 Issued in OH

Practice address

535 Marmion Ave
Youngstown, OH 44502-2323

Phone

(330) 782-5664

Fax

(330) 782-1614

NPI assigned

Dec 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Family and Community ServicesGroup PAC ID 4587620513, 11 clinicians

Practice addresses (Care Compare)

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.

• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1699742239
  Medicare reassignment Care Compare group NPD
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1083054506
  NPD

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1982363453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GRYPHON",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2103639-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2304857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Johnson
• Fayola Abeni Johnson
• Felicia Lashawna Johnson
• Garett Jerome Johnson Jr.
• Garfield Johnson, CDCA
• Jamie Lee Johnson, M.S., ED, LPCC
• Jaquala Johnson
• Jenna Layne Johnson, BCBA
• Jileen Marie Johnson
• Jullian Lynn Johnson

• Professional Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.