Individual provider Active NPI

Christina Jamaica Johnson, M.ED

  • Mental Health Counselor
  • Warrenton, VA
National Provider Identifier
1174104608
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704011925 Issued in VA
Practice address
92 Main St Ste 201
Warrenton, VA 20186-3366
Phone
(703) 997-6641
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010536 VA
Mental Health Counselor 101YM0800X 0704011925 VA Primary

Addresses

Primary practice location

92 Main St Ste 201
Warrenton, VA 20186-3366

Mailing address

132 N Sycamore St Apt 308
Petersburg, VA 23803-3264
Phone (919) 937-8284

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0701010536VAMDMental Health Counselor
0704011925VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In Luck Counseling LLC Mental Health CurrentSince Jan 31, 2024 Accepting new patients

Locations

92 Main St
Ste 201
Warrenton, VA 20186
Phone (703) 997-6641

Organizations & group practices 1

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1174104608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N SYCAMORE ST APT 308",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033264",
            "telephone_number": "919-937-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST STE 201",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863366",
            "telephone_number": "703-997-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "JAMAICA",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010536",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704011925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.