Katharine Johnson, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2413 Issued in MS

Practice address

6952 Dogwood MNR N Ste 101
Olive Branch, MS 38654-2091

Phone

(662) 782-6652

NPI assigned

Oct 25, 2015

Sex

Female

Sole proprietor

No

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

Locations

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.

• The Counselor in Flip-Flops, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olive Branch, MS
  • NPI 1962273722
  NPD Authorized official

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1053783480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ANTEBELLUM LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546575",
            "telephone_number": "256-682-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-782-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHARINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3466",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamren Alese Joe, DDS
• Stephen W. Joe, D.M.D.
• John Will Lifestyle Companions LLC
• David Johnson
• Holly Johnson, PT
• Johnsons Therapy Group LLC
• Audra K Jones, FNP
• Chad Allen Jones, D.N.P.
• Kizmet Lashon Jones, MSN, APRN, FNP-BC
• Patrick Jones Jr., PHARM. D.

• Counselor in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.