Lisa Marie Johnson, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9741 Issued in SC

Practice address

119 Veranda Way Unit F
Murrells Inlet, SC 29576-7931

Phone

(843) 429-0080

NPI assigned

Oct 10, 2018

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Charleston Counseling Center PC

  dba Lifestance Health

  • Mental Health Counselor
  • Mount Pleasant, SC
  • NPI 1316375678

  Professional

  Medicare reassignment NPD
• Myrtle Beach Counseling Center

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1235784661
  NPD
• TTH Services, Inc.

  • Professional Counselor
  • Murrells Inlet, SC
  • NPI 1720474521
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1023583630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VERANDA WAY UNIT F",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767931",
            "telephone_number": "910-234-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VERANDA WAY UNIT F",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767931",
            "telephone_number": "843-429-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6763",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.C. BOARD OF EXAMINERS FOR LICENSURE OF  PROFESSIONAL COUNSELORS,  MARRIAGE & F",
            "identifier": "9741",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JBG Home Care Agency LLC
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• John a. Miller, DMD,LLC (Smile Town)
• John Anderson Miller (The Smile Center)
• Sarah Johnson
• Sherri Moon Johnson, LPC
• Jack Johnston, MD
• Joel P Johnston, DMD
• Virginia Johnston, FNP

• Professional Counselor in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.