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

Kermit Johnson, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114723343

Kermit Johnson, LCDC is an Addiction (Substance Use Disorder) Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

2015 NE Loop 410
San Antonio, TX 78217-5411
Phone: (210) 987-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14034 (TX)

Record details

NPI number1114723343
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC
Sole proprietorYes
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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