MR. MATTHEW DEAN JOHNSON LPCC-S NPI 1114062312

NPI Information

NPI: 1114062312
Provider Name: MR. MATTHEW DEAN JOHNSON, LPCC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1807 PRESTWICK PL
ROGERS, AR
ZIP 72758
Phone: (479) 685-6595
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MR. Matthew Dean Johnson, LPCC-S is a professional counselor in Rogers, AR. MR. Matthew Dean Johnson, LPCC-S NPI is 1114062312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1807 PRESTWICK PL
ROGERS, AR
ZIP 72758-389
Phone: (479) 685-6595

The enumeration date for this NPI number is 2/21/2007 and was last updated on 5/20/2013.

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	E.1000019-SUPV	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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