Katrina Ann Johnson, BCBA, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3685 Issued in NC

Practice address

1122 Sam Newell Rd
Ste 104
Matthews, NC 28105-5015

Phone

(704) 277-7018

NPI assigned

Feb 23, 2011

Last updated

May 2, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1093012320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLEBRIDGE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701710",
            "telephone_number": "704-277-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD",
            "address_2": "STE 104",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055015",
            "telephone_number": "704-277-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "credential": "BCBA, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JNR Rising Hope Counseling & Consulting, PLLC
• Matthew Jobe, RPH
• Aaliyah Johnson, RBT
• Anna Blair Johnson, MD
• Isabelle Jane Johnson, MSW, LCSWA
• Marissa Johnson, LPCA, NCC
• Tori Johnson
• Katherine Joiner, SLP
• Deborah W Jonas, PA-C
• Amanda Parris Jones, RN

• Psychologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.