Active NPI
Johnetta McCain
- Counselor
- Homer, AK
National Provider Identifier
1083305734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 51310 Timber Bay CT
Homer, AK 99603-9812 - Phone
- (907) 373-4732
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
51310 Timber Bay CT
Homer, AK 99603-9812
Mailing address
51310 Timber Bay CT
Homer, AK 99603-9812
Other practice location 1
5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone (314) 469-4908
Other names 1
- Johnetta Thorpe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Response, Inc | Counselor | Current | Accepting new patients |
Locations
5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908
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.
-
- Counselor
- Saint Louis, MO
- NPI 1023546967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1083305734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51310 TIMBER BAY CT",
"city": "HOMER",
"state": "AK",
"postal_code": "996039812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51310 TIMBER BAY CT",
"city": "HOMER",
"state": "AK",
"postal_code": "996039812",
"telephone_number": "907-373-4732"
}
],
"practiceLocations": [
{
"address_1": "5501 Delmar Blvd Ste B300",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631123078",
"country_code": "US",
"telephone_number": "314-469-4908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAIN",
"first_name": "JOHNETTA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHNETTA",
"last_name": "THORPE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.