Dr Ivy Johnson, LPC is a 
Counselor - Professional based in Houston, Texas. Dr Ivy Johnson is licensed to practice in Texas (license number 67180) and her current practice location is 
4115 Mineral Haven Dr, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at 
(713) 409-2979.
NPI number for Dr Ivy Johnson is 1174030894 and her current mailing address is 4115 Mineral Haven Dr, Houston, Texas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174030894.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Ivy Johnson | 
|---|
| Gender | Female | 
|---|
| Speciality | Counselor - Professional | 
|---|
| Location | 4115 Mineral Haven Dr, Houston, Texas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1174030894
- Provider Enumeration Date: 01/03/2018
- Last Update Date: 01/03/2018
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Ivy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1174030894 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 103TS0200X | Psychologist - School | 70848 (Texas) | Secondary | 
| 101YP2500X | Counselor - Professional | 67180 (Texas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ivy Johnson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Dr Ivy Johnson, LPC 4115 Mineral Haven Dr,
 Houston, TX 77048-5555
 Ph: (713) 409-2979
 | Dr Ivy Johnson, LPC 4115 Mineral Haven Dr,
 Houston, TX 77048-5555
 Ph: (713) 409-2979
 | 
		
		 
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