Frederica Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7879 Issued in LA

Practice address

800 Spring St Ste 205
Shreveport, LA 71101-3757

Phone

(318) 670-3170

Fax

(318) 670-3607

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: frederica.johnson.1@30520.direct.athenahealth.com

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  LA, TX

  Medicare reassignment Care Compare group NPD
• Senior Psychological Care of Louisiana, LLC

  • Psychologist
  • Napoleonville, LA
  • NPI 1992456867
  Medicare reassignment NPD
• Frederica Johnson Counseling Services, LLC

  • Professional Counselor
  • Shreveport, LA
  • NPI 1902557507
  NPD Authorized official
• Let'S Talk Counseling and Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1679926885
  NPD
• Senior Psychcare of Louisiana, LLC

  • Psychiatry Physician
  • Napoleonville, LA
  • NPI 1821749789
  NPD
• Fairway Counseling Agency, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1912281031
  NPD (past)
• Rehabilitation Services of Northwest Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1427137074
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1154781383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013757",
            "telephone_number": "318-670-3170",
            "fax_number": "318-670-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013757",
            "telephone_number": "318-670-3170",
            "fax_number": "318-670-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FREDERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie D. Johnson, MD
• Eddie Glen Johnson III, M.D.
• Ema-Chanel Johnson, MSN, APRN, FNP-C
• Ethel Johnson
• Felisa Johnson Johnson, COTA
• Gladys Johnson
• Haley Johnson, CSFA
• Holly Johnson
• Jamie Johnson
• Jarica Johnson

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.