Individual provider Active NPI

Jessica S Johnson, LPC

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1144720723
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1400139 Issued in OH
Practice address
15905 Brookway Dr Ste 4101
Huntersville, NC 28078
Phone
(704) 960-2632
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1400139 OH Primary

Addresses

Primary practice location

15905 Brookway Dr Ste 4101
Huntersville, NC 28078

Mailing address

6337 Foster Brook Dr
Charlotte, NC 28216-1514
Phone (614) 288-7955

Other practice location 1

431 E Broad St
Columbus, OH 43215-4004
Phone (614) 785-3583

Other practice location 2

8401 Medical Plaza Dr Ste 360
Charlotte, NC 28262-8700
Phone (704) 208-4458

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

LicenseStateTypeSpecialty
C.1400139OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Hope Counseling and Development Services, PLLC Mental Health Current Accepting new patients
Horizon Psychological Services, P.C. PastSince Aug 11, 2019 Accepting new patients
Anderson Counseling and Consulting Group, PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1144720723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 FOSTER BROOK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161514",
            "telephone_number": "614-288-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 BROOKWAY DR STE 4101",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-960-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154004",
            "country_code": "US",
            "telephone_number": "614-785-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Medical Plaza Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628700",
            "country_code": "US",
            "telephone_number": "704-208-4458",
            "fax_number": "866-309-6385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.