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

Lindley Robert Johnson, LPC, MAC

Individual provider Counselor · NPI 1124177050

Lindley Robert Johnson, LPC, MAC is a Mental Health Counselor in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2007
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

621 SW Alder St Ste 520
Portland, OR 97205-3626
Phone: (503) 494-4745
Fax: (205) 494-4747
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1124177050
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , MAC
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESSeptember 11, 2013

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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