Active NPI
Jeanette Dalisia Johnson, LPC-A
- Professional Counselor
- Houston, TX
National Provider Identifier
1083348700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 98255
- Practice address
- 14407 Swanfield Dr
Houston, TX 77083-6140 - Phone
- (346) 815-7774
- NPI assigned
- Jul 11, 2022
- 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 | 98255 | TX | Primary |
Addresses
Primary practice location
14407 Swanfield Dr
Houston, TX 77083-6140
Mailing address
11212 Westpark Dr Apt 814
Houston, TX 77042-5072
Phone (346) 815-7774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98255 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aja Divine Healing | Community/Behavioral Health | Current | 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": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1083348700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 WESTPARK DR APT 814",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770425072",
"telephone_number": "346-815-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14407 SWANFIELD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770836140",
"telephone_number": "346-815-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEANETTE",
"middle_name": "DALISIA",
"name_prefix": "Ms.",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "98255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.