Andrea Marita Johnson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003807A Issued in IN

Practice address

639 N Shea Rd
Scottsburg, IN 47170-8132

Phone

(812) 820-3061

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Ease of Mind Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsburg, IN
  • NPI 1851962732
  NPD Authorized official
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  IN

  Medicare reassignment
• Illinois Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1952830853

  IN

  Medicare reassignment
• Neuro Force

  • Community/Behavioral Health Agency
  • Mishawaka, IN
  • NPI 1871080432
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1043827991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N SHEA RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471708132",
            "telephone_number": "812-820-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N SHEA RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471708132",
            "telephone_number": "812-820-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "MARITA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003807A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wdcp.microsoft.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "639 N Shea Rd",
            "city": "Scottsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471708132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet M Buhse MD PC
• Angela Marie Janis
• Yazmine Jaquez, APRN, FNP-C
• Jennifer M. Craig MD PC
• Matthew Jerrell
• Dorothy Johnson
• Matthew Tyler Johnson, PHARM.D
• Joyce Coats Inc
• Amit Kalra, RPT
• Kasaraneni LLC (Fracture Orthopedic Express Care)

• Mental Health Counselor in Scottsburg, IN
• Providers in Scottsburg, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.