MARY A. JOHNSON PH.D., LPC
NPI 1154681963
Counselor - Professional in Pendleton, OR

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1154681963. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 25, 2012

202 SE DORION AVE, SUITE 103, PENDLETON, OR 97801(541) 276-2471 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary A. Johnson Ph.d., Lpc NPPES

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

MARY A. JOHNSON PH.D., LPC (NPI 1154681963) is an individual professional provider in Pendleton, Oregon, licensed in Oregon (C2898) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1154681963

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY A. JOHNSONCredential: PH.D., LPC

Location Address202 SE DORION AVE, SUITE 103Pendleton, OR 97801-2576

Mailing Address202 Se Dorion Ave, Suite 103Pendleton, OR 97801-2576 · (541) 276-2471

Phone(541) 276-2471

Sole ProprietorYes

Enumeration DateMay 25, 2012

✔ NPI 1154681963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in OR · C2898✔ Licensed in NM · 92271

202 SE DORION AVE, Pendleton, OR 97801

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Other Providers at the Same Location NPPES

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

PENDLETON FAMILY PRACTICE AND SPORTS MEDICINE LLC

Clinic/Center (Primary Care)

202 SE DORION AVE
PENDLETON, OR 97801

Umatilla County (541) 966-8384

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1154681963. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Mary Johnson located?

Mary Johnson practices at 202 SE Dorion Ave Suite 103, Pendleton, OR 97801. The listed phone number is (541) 276-2471.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.