Active NPI
Grace Johnson
- Counselor
- Richmond, VA
National Provider Identifier
1053009159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704015846
- Practice address
- 2008 Bremo Road Suite 111
Richmond, VA 23226-4705 - Phone
- (804) 223-1399
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704015846 | VA | Primary |
Addresses
Primary practice location
2008 Bremo Road Suite 111
Richmond, VA 23226-4705
Mailing address
9 E Leigh St Apt a
Richmond, VA 23219-1371
Phone (804) 306-5734
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704015846 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Realign Your Mind Counseling Services | Mental Health | Past | Accepting new patients |
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.
-
- Professional Counselor
- Mechanicsville, VA
- NPI 1427638345
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1053009159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 E LEIGH ST APT A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191371",
"telephone_number": "804-306-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 BREMO ROAD SUITE 111",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232264705",
"telephone_number": "804-223-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704015846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.