MS. CAROL S JOHNSON LMFT LPC CEAP NPI 1104977800

NPI Information

NPI: 1104977800
Provider Name: MS. CAROL S JOHNSON, LMFT, LPC, CEAP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
614 W MAIN ST STE 102
LEAGUE CITY, TX
ZIP 77573
Phone: (281) 332-3263
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MS. Carol S Johnson, LMFT, LPC, CEAP is a professional counselor in League City, TX. MS. Carol S Johnson, LMFT, LPC, CEAP NPI is 1104977800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

614 W MAIN ST STE 102
LEAGUE CITY, TX
ZIP 77573-770
Phone: (281) 332-3263

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	8923	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		0179	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	76042119877573	OTHER		TRICARE
2	LP0005876	MEDICAID	TEXAS
3	1438LC	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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