Active NPI
Fatima Jewan Johnson
- Professional Counselor
- Prattville, AL
National Provider Identifier
1073482840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC02670
- Practice address
- 2038 Home Park TRL Apt 312
Prattville, AL 36066-7833 - Phone
- (334) 467-6492
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC02670 | AL | Primary |
Addresses
Primary practice location
2038 Home Park TRL Apt 312
Prattville, AL 36066-7833
Mailing address
2038 Home Park TRL Apt 312
Prattville, AL 36066-7833
Phone (334) 467-6492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260102002099 | AL | Order and Referring Only - Mental Health Counselor | 1759877319 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC02670 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1073482840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 HOME PARK TRL APT 312",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667833",
"telephone_number": "334-467-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 HOME PARK TRL APT 312",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667833",
"telephone_number": "334-467-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FATIMA",
"middle_name": "JEWAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC02670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.