Individual provider Active NPI

Veronica Odell Johnson, M.A.

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1023248218
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6411 Issued in SC
Practice address
4611 Hard Scrabble Rd Ste 109-326
Columbia, SC 29229-8584
Phone
(803) 250-6301
Fax
(803) 419-8787
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6411 SC Primary

Addresses

Primary practice location

4611 Hard Scrabble Rd Ste 109-326
Columbia, SC 29229-8584

Mailing address

4611 Hard Scrabble Rd Ste 109-326
Columbia, SC 29229-8584
Phone (803) 250-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6411SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling LLC Professional CurrentSince Apr 25, 2021 Accepting new patients

Locations

4611 Hard Scrabble Rd
Ste 109326
Columbia, SC 29229
Phone (803) 250-6301

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1023248218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD STE 109-326",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298584",
            "telephone_number": "803-250-6301",
            "fax_number": "803-419-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD STE 109-326",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298584",
            "telephone_number": "803-250-6301",
            "fax_number": "803-419-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VERONICA",
        "middle_name": "ODELL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.