Individual provider Active NPI

Xanthia Bianca Johnson, M.A.

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1073643763
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC13968 Issued in DC
Practice address
601 Pennsylvania Ave NW
Suite 900 South Building
Washington, DC 20004-2601
Phone
(240) 565-5422
Fax
(202) 639-8238
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC13968 DC Primary

Addresses

Primary practice location

601 Pennsylvania Ave NW
Suite 900 South Building
Washington, DC 20004-2601

Mailing address

3913 Pennsylvania Ave SE
Washington, DC 20020-1101
Phone (240) 565-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC13968DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Playology LLC Mental Health CurrentSince Aug 25, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1073643763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200201101",
            "telephone_number": "240-565-5422",
            "fax_number": "202-518-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PENNSYLVANIA AVE NW",
            "address_2": "SUITE 900 SOUTH BUILDING",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042601",
            "telephone_number": "240-565-5422",
            "fax_number": "202-639-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "XANTHIA",
        "middle_name": "BIANCA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.