Danielle Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008492 Issued in VA

Practice address

2124 Richmond Hwy Ste 301
Stafford, VA 22554-7264

Phone

(540) 701-5312

NPI assigned

Jul 15, 2019

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

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Petra Counseling Services, LLC

  • Professional Counselor
  • Stafford, VA
  • NPI 1508691155

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1164074530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 BANNER PLANTATION DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076683",
            "telephone_number": "808-393-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 RICHMOND HWY STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547264",
            "telephone_number": "540-701-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Renee Jennings-Knight
• Brian Peter Jennings, LCSW
• Jeran Health Care Services, LLC
• Angel Karisma Joel, CERTIFIED NURSE AID
• Candice Johnson
• Gregory Dylan Johnson
• Jenavieve Johnson
• Joni J Johnson, M.D.
• Keshanna N Johnson
• Madison Whitehurst Johnson, M.S. CCC-SLP

• All providers in Stafford, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.