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Deactivated NPI 1124207774 Deactivated / Inactive NPI Female Practitioner

L Pearl Johnson , BA

Counselor • Phila, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, L Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2007
NPI Deactivation Date December 08, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

L Johnson, BA was a registered Counselor practicing in Phila, PA. Throughout an active medical career spanning 14 years, L Johnson provided care at the practice location at 112 N BROAD ST until profile deactivation on 2021-12-08.

Practice Location & Contact Primary Location

Practice Address

112 N Broad St
Rm 821

Phila, PA 191021510

Telephone 2155680860
Fax 2155680769
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
91 Specialists

Practicing in Phila, PA (4037 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Christy Lehman

Counselor - Addiction (Substance Use Disorder)

NPI 1003304791
Richard Bethke

Case Manager/Care Coordinator

NPI 1003337882
NPI 1003931379

MSSPECIALED

NPI 1003932872

Bachelor of Arts, MHS

NPI 1003933656

Bachelor of Science

NPI 1013107846

Bachelor of Arts

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 08, 2021

Record deactivated on December 08, 2021

NPI Profile Active October 31, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 31, 2007

Registered at 112 N BROAD ST, RM 821, PHILA, PA 191021510 (Tel: 2155680860)

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Updated Business Mailing Address October 31, 2007

Registered at PO BOX 20890, 1416 W GRANGE AVE, PHILADELPHIA, PA 191410890 (Tel: 2159272290)

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Provider Name / Credentials Updated October 31, 2007

Recorded as L JOHNSON, B.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2007

Counselor

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Initial NPI Registration & Enumeration October 31, 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: 1124207774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2007
Last Update: October 31, 2007
Deactivation Date: December 08, 2021

Mailing Address

Po Box 20890, 1416 W Grange Ave

Philadelphia, PA 191410890

Phone: 2159272290

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.