RYAN MITCHELL JOHNSON (LPC) – Counselor, NPI 1043750110

RYAN MITCHELL JOHNSON (LPC) is a healthcare provider. based in Tulsa, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 12093 (OK). The NPI Number for RYAN MITCHELL JOHNSON (LPC) is 1043750110

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MITCHELL JOHNSON (LPC)
NPI
1043750110
Phone
(918) 712-4301
Address
2325 S HARVARD AVE
Enumeration Date
8 March 2017
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187124301
Graduation Year
2012 (14 years ago)
PAC ID
2466992433
Group Practice PAC ID
9830170687
Professional Enrollment ID
I20240905003353
Address ID
OK741143300TU2325XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for RYAN MITCHELL JOHNSON (LPC)

  • 2325 S HARVARD AVE

    TULSA, OK 741143300

    Phone: (918) 712-4301

    Type: Location

  • PO BOX 2526

    JOPLIN, MO 648032526

    Phone: (417) 347-7579

    Type: Mailing

  • 921 E 34TH ST

    JOPLIN, MO 648043933

    Phone: (417) 347-7520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240905003353IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830170687View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
P S Y C H I A T R YOK
Clinical Social WorkerOK
Mental Health CounselorOK
-OK
Clinical Social WorkerOK
Nurse PractitionerOK
P S Y C H I A T R YOK

Reviews

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Frequently asked questions

How is RYAN MITCHELL JOHNSON (LPC) identified in CMS data?
CMS-hosted NPPES data lists RYAN MITCHELL JOHNSON (LPC) with NPI 1043750110.
Can I rely on RYAN MITCHELL JOHNSON (LPC) being an active provider?
As of the registry snapshot, RYAN MITCHELL JOHNSON (LPC) is marked active.
What is RYAN MITCHELL JOHNSON (LPC) best known for clinically?
Directory data describes RYAN MITCHELL JOHNSON (LPC) with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN MITCHELL JOHNSON (LPC) on a map?
Expect Tulsa, Oklahoma as a primary anchor for RYAN MITCHELL JOHNSON (LPC) unless the record lists multiple sites.
Why does RYAN MITCHELL JOHNSON (LPC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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