NPI age
8 years
Enumerated 2017-10-11
● Active
Type 1 · Individual
MR. Jackie Jerome Johnson SR., LCDC-I
Johnson is 1 of 50 counselor providers in Lubbock and 1 of 2629 in Texas.
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2629 active counselor providers in Texas.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-10Enumerated in NPPES
2017
2026
Where they practice
Practice location
1715 26th St
Lubbock, TX 794111524
Mailing address
1715 26th St
Lubbock, TX 794111524
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.