Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johnny Jason Buck, LPC

Individual provider Professional Counselor · NPI 1144575382

Dr. Johnny Jason Buck, LPC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Brightside Medical PA, a 95-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

14256 S 47th St
Phoenix, AZ 85044-6205
Phone: (480) 510-8502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-13746 (AZ)

Record details

NPI number1144575382
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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