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Active NPI 1154674703 Individual Practitioner Male Practitioner

David Flynn Johnson , LPCC-S

Counselor - Professional • Moraine, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Johnson, LPCC-S is a certified Counselor - Professional practicing in Moraine, OH. With approximately 30 years of clinical experience since completing medical education in 1996, David Johnson delivers high-quality medical care to the local community at 3095 KETTERING BLVD.

David Johnson is affiliated with South Community Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3095 Kettering Blvd

Moraine, OH 454391983

Telephone 9379131901
Fax 9379131913
Associated Practice Facility / Clinic
🏢 South Community Inc Facility NPI 1639128176

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moraine, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +14.6 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
68 Specialists

Practicing in Moraine, OH (6923 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (30 Years) 30 Yrs
Moraine Specialty Average (15.4 Years) 15.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0003965-SUPV

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH E0003965

Definition to come...

Hospital & Practice Group Affiliations

South Community Inc.

3095 Kettering Blvd, Moraine, OH 454391983

Phone: 9372938300

Practice Associates & Co-Workers

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

8 Associated Practitioners
Sherry Ganzmann , LPN

Licensed Practical Nurse

NPI 1104375765

Licensed Practical Nurse

Harold Conner

Case Manager/Care Coordinator

NPI 1275030991
Jonathon Boehringer , LPN

Licensed Practical Nurse

NPI 1578922837

Licensed Practical Nurse

Lee Dunham , LISW-S

Social Worker - Clinical

NPI 1659624369

LISWS

NPI 1760527626

Master of Science, LPCCS

Mikahla Inness

Case Manager/Care Coordinator

NPI 1881185361

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated September 13, 2021

Recorded as DAVID JOHNSON, LPCC-S

NPI Profile Active October 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2012

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9379131901)

📍
Updated Business Mailing Address October 19, 2012

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9379131901)

👤
Provider Name / Credentials Updated October 19, 2012

Recorded as DAVID JOHNSON, P.C.C.-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2012

Counselor (License #E0003965 in OH)

🟢
Initial NPI Registration & Enumeration October 19, 2012

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: 1154674703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2012
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

3095 Kettering Blvd

Moraine, OH 454391983

Phone: 9379131906

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.