Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215068853 Individual Practitioner Female Practitioner

Susan Mary Johnson , MS, LPC

Counselor - Professional • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Susan Johnson, MS, LPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, MO. Practice services are available at 1630 N JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1630 N Jefferson Ave

Springfield, MO 658032819

Telephone 4178371540
Fax 4178316709
Associated Practice Facility / Clinic
🏢 The Kitchen, Inc Facility NPI 1073881710

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
664 Specialists

Practicing in Springfield, MO (5929 Statewide)

Telehealth Adoption Rate
2.3% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2004035687

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Mark Bower , MD

Internal Medicine

NPI 1265479984

Doctor of Medicine (M.D.)

Dr. Arthur Trask , MD

General Practice

NPI 1598013724

Doctor of Medicine (M.D.)

Kathryn Bailey , FNP

Nurse Practitioner - Family

NPI 1760496814

Family Nurse Practitioner

NPI 1770729428

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1630 N JEFFERSON AVE, SPRINGFIELD, MO 658032819 (Tel: 4178371540)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2054 N BENTON AVE, SPRINGFIELD, MO 658032912 (Tel: 4178402395)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SUSAN JOHNSON, M.S., L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #2004035687 in MO)

🟢
Initial NPI Registration & Enumeration March 07, 2007

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: 1215068853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2054 N Benton Ave

Springfield, MO 658032912

Phone: 4178402395

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.