Johnston Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

632 Issued in NC

Legal business name

JOHNSTON COUNSELING SERVICES

Practice address

113 N 3Rd St
Smithfield, NC 27577-3939

Phone

(919) 938-0921

Fax

(919) 938-3807

NPI assigned

Apr 24, 2007

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Martin Woodall, MA, LPC, LCASNPI 1235178724

Title

Owner

Phone

(919) 938-0921

Specialties & licenses 2

Addresses

Other identifiers 7

Tax ID family

Johnston Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnston Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
  • NPI 1700194404
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony M Woodall, MA, LPC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
  • NPI 1235178724
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1184843757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1835",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N 3RD ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773939",
            "telephone_number": "919-938-0921",
            "fax_number": "919-938-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-938-0921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "632",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP",
            "identifier": "0177C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102389",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "543707000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "577331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC INDIVIDUAL",
            "identifier": "1165Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "186858",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2076854",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Stephenson Johnson, FNP
• Kayla Work Johnson, DNP
• Kimberly A Johnson, M.D.
• Mary Margaret Johnson, PHARM D, MBA, MSCR
• Maryann Shields Johnson, ST
• Johnston Counseling Services
• Johnston County (Johnston County EMS)
• Johnston County Department of Social Services
• Johnston County Department of Social Services
• Johnston County Group Homes, Inc.

• Addiction (Substance Use Disorder) Counselor in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.