Philip Russell Johnson, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12310A Issued in NC

Practice address

1437 Military Cutoff Rd Ste 200
Wilmington, NC 28403-3638

Phone

(301) 471-1537

NPI assigned

May 7, 2009

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1992939797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 SAND RIDGE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284097601",
            "telephone_number": "301-471-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "301-471-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHILIP",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12310A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Yvette Johnson
• Lottie Zhevonda Johnson, PHARM.D.
• Marissa Johnson, FNP-C
• Mollie K Johnson, PA
• Niya N Johnson, RBT
• Tiffany M Johnson, MA, NCC,LSC, LCMHC-A
• Tracy Lynn Johnson, CFTS
• Tucker Lee Johnson, FNP
• Yvonnia E Johnson, LCSW-A, CADC-I
• Jenna Lee Johnston, LCMHC

• Marriage & Family Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.