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Active NPI 1306857875 Individual Practitioner Female Practitioner

Constance Johnson , LPC, LPC-SUPERVISOR

Counselor - Professional • Temple, TX

Professional Overview & Biography Verified Profile Summary

Constance Johnson, LPC, LPC-SUPERVISOR is a registered healthcare professional specializing in Counselor - Professional in Temple, TX. Practice services are available at 601 PENDLETON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 Pendleton St

Temple, TX 765042947

Telephone 2547421524
Fax 2547420789
Associated Practice Facility / Clinic
🏢 Connie Johnson, Lpc, Inc. Facility NPI 1871792192

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
114 Specialists

Practicing in Temple, TX (21203 Statewide)

Telehealth Adoption Rate
3.5% 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 TX 14874

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 14874

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
028373101 (TX)
Commercial Insurance / Payer ID Pgba / Value Options Tric
26-0191219 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
4067LC (TX)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Patsy Ashby , LPC

Counselor - Mental Health

NPI 1578824991

Licensed Professional Counselor

Randi Rasco , LPC

Counselor - Professional

NPI 1922233097

Licensed Professional Counselor

Brenda Smith , LCSW

Social Worker - Clinical

NPI 1942209895

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2012

Registered at 601 PENDLETON ST, TEMPLE, TX 765042947 (Tel: 2547421524)

📍
Updated Business Mailing Address March 01, 2012

Registered at PO BOX 581, SALADO, TX 765710581 (Tel: 2547602960)

👤
Provider Name / Credentials Updated March 01, 2012

Recorded as CONSTANCE JOHNSON, LPC, LPC-SUPERVISOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Counselor (License #14874 in TX)

🟢
Initial NPI Registration & Enumeration August 10, 2006

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: 1306857875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: March 01, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 581

Salado, TX 765710581

Phone: 2547602960

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.