Active NPI
Erica N Johnson
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP023058
- Practice address
- 1015 Chestnut St Ste 1520
Philadelphia, PA 19107-4315 - Phone
- (484) 246-6416
- NPI assigned
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP023058 | PA | Primary |
Addresses
Primary practice location
1015 Chestnut St Ste 1520
Philadelphia, PA 19107-4315
Mailing address
1015 Chestnut St Ste 1520
Philadelphia, PA 19107-4315
Phone (484) 358-0331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1015 Chestnut St
Suite 403
Philadelphia, PA 19107-4304
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023058 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Vital Healthcare Solutions | Current | Accepting new patients |
Locations
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
1015 Chestnut St
Ste 1520
Philadelphia, PA 19107
Phone (215) 601-7379
1015 Chestnut St
Ste 403
Philadelphia, PA 19107
Phone (215) 625-9770
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990
Organizations & group practices 3
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.
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- NPI 1871955807
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1124618335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074315",
"telephone_number": "484-358-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074315",
"telephone_number": "484-246-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERICA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP023058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.