Kendria Eden Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1215 Jefferson St Unit 1
Lynchburg, VA 24504-1857

Phone

(434) 515-0233

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Out of Eden LLC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1477302958
  NPD Authorized official
• Taylored Counseling Services LLC

  • Counselor
  • Lynchburg, VA
  • NPI 1023888484
  NPD (past)
• Wyndhurst Counseling Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1891859864

  Professional

  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1073136925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HEXHAM DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JEFFERSON ST UNIT 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041857",
            "telephone_number": "434-515-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Oakdale Cir",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245027348",
            "country_code": "US",
            "telephone_number": "434-515-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENDRIA",
        "middle_name": "EDEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Levi Johnson, PA-C
• Brenner Johnson
• Dytanyon Howard Johnson
• John Daniel Johnson III, D.O.
• Kaitlyn Johnson
• Kristen M Johnson
• Lauren Johnson, MA, LRIC
• Matthew A Johnson, MD
• Melissa Johnson, LPC
• Robbie Newsom Johnson, CNS

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.