MEDICARE: TERESA ANN JOHNSON LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CC6745	ME
2	101YM0800X	Mental Health Counselor	73764	TX

General Provider Information

NPI Number	:	1194244525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA ANN JOHNSON LCPC

Provider Business Mailing Address
First Line	:	11 BAXTER BLVD FL 2
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04101-1801
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	8853 GREENHAVEN DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-2913
Country	:	US
Telephone Number	:	817-994-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	05/19/2026

Similar Medicare Providers

1518924620 — DR. W WESLEY MOORE D.D.S.
Practice Location Address:

2913 S 74TH ST
FORT SMITH, AR
72903-5156

Practice Phone: 479-484-5050
Practice Fax: 479-484-5052

1982860565 — MRS. NICOLE MERCIER COMER
Practice Location Address:

15 ANTHONY LN
FORT MITCHELL, KY
41017-2913

Practice Phone: 859-740-4448
Practice Fax:

1427208008 — REYNOLDS ARMY COMMUNITY HOSPITAL
Practice Location Address:

2913 CRAIG ROAD
FORT SILL, OK
73503

Practice Phone: 580-558-2800
Practice Fax:

1457654766 — REYNOLDS ARMY COMMUNITY HOSPITAL
Practice Location Address:

CUSTER ROAD , BLDG 2913
FORT SILL, OK
73503

Practice Phone: 580-558-2558
Practice Fax: 580-558-2445

1194154443 — MOORE DENTAL CARE
Practice Location Address:

2913 SOUTH 74TH STREET
FORT SMITH, AR
72903

Practice Phone: 479-484-5050
Practice Fax: 479-484-5052

1083274823 — JANETTE NAGRAMPA DDS
Practice Location Address:

2913 S 74TH ST
FORT SMITH, AR
72903-5156

Practice Phone: 479-484-5050
Practice Fax:

Directions to “ TERESA ANN JOHNSON LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.