Carol Martin Johnson, MA, ATR-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004304 Issued in PA

Practice address

4919 Pentridge St
Philadelphia, PA 19143-3320

Phone

(267) 608-5354

Fax

(610) 387-6056

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Carol Martin Johnson LLC

  • Mental Health Counselor
  • Upper Darby, PA
  • NPI 1619416054
  NPD (past) Authorized official

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1114363140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SPRUCE ST UNIT 502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394372",
            "telephone_number": "267-608-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 PENTRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433320",
            "telephone_number": "267-608-5354",
            "fax_number": "610-387-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4522 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191433705",
            "country_code": "US",
            "telephone_number": "267-608-5354",
            "fax_number": "610-387-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "MARTIN",
        "name_prefix": "Ms.",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "004304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Marlow Johnson, RPH
• Bradley Eric Johnson, DO
• Brandy Johnson, M.D.
• Brianna Nicole Johnson
• Calvin B Johnson, MD
• Caroline Carlson Johnson, M.D.
• Chanel Cachet Johnson
• Chanell Denise Johnson
• Charlotte Johnson
• Cheilonda R Johnson, M.D.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.