Katherine Johnson, PLPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P-0822 Issued in MS

Practice address

208 Key Dr Ste C
Madison, MS 39110-7378

Phone

(601) 760-2050

NPI assigned

May 31, 2022

Last updated

May 31, 2022By 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

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.

• Vitality Counseling

  • Professional Counselor
  • Madison, MS
  • NPI 1154904035
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1073252086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CASA URBANO DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565943",
            "telephone_number": "601-260-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107378",
            "telephone_number": "601-760-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "credential": "PLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-0822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kjohnson@vitalitycounsel.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Vitality Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 Key Dr Ste C",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391107378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Traves Jeffery, COTA
• Jordan Larue Fulcher Jenkins, FNP-C
• Min Sun Ji
• Wayne P Jimenez, PT
• Amanda G Johnson, PHARMD
• Nathan Dale Johnson, DO
• Sarah Hampton Johnson, OT
• Scarlett La'Ree Johnson, DMD
• Shakyla Johnson
• Deven Spell Johnston, PHARM.D.

• Mental Health Counselor in Madison, MS
• Providers in Madison, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.