Organization Active NPI

Provisions of Hope LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pensacola, FL
National Provider Identifier
1134043144
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROVISIONS OF HOPE LLC
Practice address
225 N Pace Blvd # 108
Pensacola, FL 32505-7915
Phone
(404) 507-6307
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Kanisha L Johnson, LCSW
Title
Owner/Therapist
Phone
(404) 507-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

225 N Pace Blvd # 108
Pensacola, FL 32505-7915

Mailing address

2172 W Nine Mile Rd Ste 167
Pensacola, FL 32534-9413
Phone (404) 507-6307

National Provider Directory

National Provider Directory

Locations

225 N Pace Blvd
#108
Pensacola, FL 32505

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1134043144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 W NINE MILE RD STE 167",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349413",
            "telephone_number": "404-507-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N PACE BLVD # 108",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057915",
            "telephone_number": "404-507-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KANISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "404-507-6307",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.