Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457854044 Individual Practitioner Male Practitioner

Cody William Redd Johnson , LPC, NCC

Counselor • Nampa, ID

Professional Overview & Biography Verified Profile Summary

Cody Redd Johnson, LPC, NCC is a registered healthcare professional specializing in Counselor in Nampa, ID. Practice services are available at 156 MCCLURE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 Mcclure Ave

Nampa, ID 836512025

Telephone 2083239600
Fax 2084665359
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Nampa, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
45 Specialists

Practicing in Nampa, ID (507 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LCPC-10144

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
LPC-6773 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alma Martinez , DMD

Dentist - Prosthodontics

NPI 1023390523

Doctor of Dental Medicine

Dr. Ernest Meshack-Hart , DDS

Dentist - General Practice

NPI 1033138235

Doctor of Dental Surgery

Daniel Lefler , PA

Physician Assistant

NPI 1033620315

Physician Assistant

Mary Goodspeed , PMHNP

Nurse Practitioner

NPI 1053069047

Psychiatric-Mental Health Nurse Practitioner

Dr. Stuart Black , MD

Family Medicine

NPI 1053351361

Doctor of Medicine (M.D.)

Megan George , PA-C

Physician Assistant - Medical

NPI 1053560367

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2024

Counselor (License #LCPC-10144 in ID)

📍
Updated Practice Location December 05, 2023

Registered at 156 MCCLURE AVE, NAMPA, ID 836512025 (Tel: 2083239600)

📍
Updated Business Mailing Address December 05, 2023

Registered at PO BOX 9, NAMPA, ID 836530009 (Tel: 2084674431)

👤
Provider Name / Credentials Updated December 05, 2023

Recorded as CODY REDD JOHNSON, LPC, NCC

NPI Profile Active March 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2018

Registered at 2273 S VISTA AVE STE 190, BOISE, ID 837057341 (Tel: 2083432737)

📍
Updated Business Mailing Address March 09, 2018

Registered at 2273 S VISTA AVE STE 190, BOISE, ID 837057341 (Tel: 2083432737)

👤
Provider Name / Credentials Updated March 09, 2018

Recorded as CODY JOHNSON, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Counselor (License #LPC-6773 in ID)

🟢
Initial NPI Registration & Enumeration March 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457854044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2018
Last Update: March 15, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 9

Nampa, ID 836530009

Phone: 2084674431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.