Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710492152 Individual Practitioner Female Practitioner

Nicole Johnson

Counselor - Professional • Venus, TX

Professional Overview & Biography Verified Profile Summary

Nicole Johnson is a registered healthcare professional specializing in Counselor - Professional in Venus, TX. Practice services are available at 7526 WILD MINT TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7526 Wild Mint Trl

Venus, TX 760843990

Telephone 3185812319

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Venus, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Venus, TX (21203 Statewide)

Telehealth Adoption Rate
16.7% 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: 2025-02-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 90574

Definition to come...

Secondary Practice Locations

100 Hazel St Apt 210

Natchitoches, LA 714572638

Phone: 3185810265

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location February 09, 2025

Registered at 7526 WILD MINT TRL, VENUS, TX 760843990 (Tel: 3185812319)

📍
Updated Business Mailing Address February 09, 2025

Registered at 7526 WILD MINT TRL, VENUS, TX 760843990 (Tel: 3185812319)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2025

Counselor (License #90574 in TX)

📍
Updated Practice Location January 27, 2020

Registered at 800 SPRING ST STE 215, SHREVEPORT, LA 711013757 (Tel: 3182278390)

📍
Updated Business Mailing Address January 27, 2020

Registered at 800 SPRING ST STE 215, SHREVEPORT, LA 711013757

📍
Updated Practice Location May 21, 2019

Registered at 103 N 5TH ST, LEESVILLE, LA 714464025 (Tel: 3372384350)

📍
Updated Business Mailing Address May 21, 2019

Registered at 3625 YOUREE DR, SHREVEPORT, LA 711052121

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2017

Registered at 100 HAZEL ST APT 210, NATCHITOCHES, LA 714572638 (Tel: 3185810265)

📍
Updated Business Mailing Address December 07, 2017

Registered at 100 HAZEL ST APT 210, NATCHITOCHES, LA 714572638 (Tel: 3185810265)

👤
Provider Name / Credentials Updated December 07, 2017

Recorded as NICOLE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Counselor

🟢
Initial NPI Registration & Enumeration December 07, 2017

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: 1710492152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2017
Last Update: February 09, 2025
Sole Proprietor: No

Mailing Address

7526 Wild Mint Trl

Venus, TX 760843990

Phone: 3185812319

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.