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RYAN MITCHELL JOHNSON LPC
NPI 1043750110
Counselor in Tulsa, OK

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
2325 S HARVARD AVE, TULSA, OK 74114(918) 712-4301 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Mitchell Johnson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN MITCHELL JOHNSON LPC (NPI 1043750110) is an individual counselor in Tulsa, Oklahoma, licensed in Oklahoma (12093) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043750110
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRYAN MITCHELL JOHNSONCredential: LPC
Location Address2325 S HARVARD AVETulsa, OK 74114-3300
Mailing Address2325 S Harvard AveTulsa, OK 74114-3300 · (918) 712-4301
Phone(918) 712-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 8, 2017
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1043750110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 12093
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2013022750 (MO)
2325 S HARVARD AVE, Tulsa, OK 74114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Mitchell Johnson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466992433
PECOS Enrollment IDI20240905003353
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA CAROL DANLEY BA
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
LORI ARP
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MRS. JENNIFER BLACK
Counselor
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MICHAEL ALAN WREST
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
TOLISSA AUTRY MHR
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 859-0986
KASSIDY JADE MUROHY RN
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (209) 588-6948
SUMMER LUANN WILDE RSS
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
JULIEN DOH
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1043750110. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Ryan Johnson located?

Ryan Johnson practices at 2325 S Harvard Ave, Tulsa, OK 74114. The listed phone number is (918) 712-4301.

What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ryan Johnson enrolled in Medicare?

Yes. Ryan Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Johnson was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.