Corandle Johnson, LPC
Counselor, Professional in Phenix City, AL. Individual provider (NPI-1).
NPI number1659438752
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1659438752
- Entity type
- Individual (NPI-1)
- Name
- Mr. Corandle Johnson
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2240 | AL | Yes |
Other names
- Corandle Johnson (Professional Name)
Practice location
83 Us Highway 169 NorthPhenix City, AL 36870-8552
Phone 706-315-9040 · Fax 334-448-8836
Mailing address
Po Box 1181Fortson, GA 31808-1181
Phone 706-315-9040 · Fax 334-448-8836
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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