Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. David Flynn Johnson, LPCC-S

Individual provider Mental Health Counselor · NPI 1154674703

Mr. David Flynn Johnson, LPCC-S is a Mental Health Counselor in Moraine, Ohio. Qualified in 1996, 30 years ago. Practices with South Community Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 913-1901
Fax: (937) 913-1913
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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 E.0003965-SUPV (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence E0003965 (OH)

Record details

NPI number1154674703
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S
Sole proprietorNo
NPI enumeratedOctober 19, 2012
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice South Community Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moraine