Healthcare Provider Details

I. General information

NPI: 1396182473
Provider Name (Legal Business Name): SARAH J JOHNSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH J BAKER

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 W 33RD ST STE 120
EDMOND OK
73013-3866
US

IV. Provider business mailing address

1733 W 33RD ST STE 120
EDMOND OK
73013-3866
US

V. Phone/Fax

Practice location:
  • Phone: 405-921-7655
  • Fax:
Mailing address:
  • Phone: 405-921-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7539
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: