Keyonda Shayla Johnson, LPC RESIDENT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016147 Issued in VA

Practice address

3800 Belspring Rd
Chester, VA 23831-4612

Phone

(804) 252-0126

NPI assigned

Oct 14, 2024

Last updated

Nov 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Encouragers Counseling and Training Centers, Inc

  • Group Psychotherapy Psychologist
  • Murrieta, CA
  • NPI 1194120287

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1033939285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BELSPRING RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314612",
            "telephone_number": "804-252-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BELSPRING RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314612",
            "telephone_number": "804-252-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9327 Midlothian Tpke Ste 1D",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354965",
            "country_code": "US",
            "telephone_number": "951-900-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4914 Radford Ave Ste 308A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303536",
            "country_code": "US",
            "telephone_number": "804-447-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEYONDA",
        "middle_name": "SHAYLA",
        "name_prefix": "Miss",
        "credential": "LPC RESIDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016147",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "212003001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Randolph Family Practice, LLC
• Rincy John
• Carl Thomas Johnson, PHARM.D.
• Daryl Kevin Johnson II
• Essence Lamar Johnson, RN, QMHP
• Kimberly Lashonda Johnson, NCC, LPC
• Madison Lloyd Johnson, MPAS, PA-C
• Megan Elizabeth Johnson, PHARMD
• Natasha Johnson, RPH
• Nicholas Miller Johnson, PT, DPT

• Mental Health Counselor in Chester, VA
• Providers in Chester, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.