Individual provider Active NPI

Janell Nicole Johnson, LPC

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1215465604
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007105 Issued in VA
Practice address
500 N Washington St Ste 101
Alexandria, VA 22314-2314
Phone
(703) 646-8806
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 0701007105 VA Primary

Addresses

Primary practice location

500 N Washington St Ste 101
Alexandria, VA 22314-2314

Mailing address

500 N Washington St Ste 101
Alexandria, VA 22314-2314
Phone (703) 646-8806

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
0701007105VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Rehab & Counseling LLC Mental Health CurrentSince Mar 22, 2020 Accepting new patients

Locations

500 N Washington St
Ste 101
Alexandria, VA 22314
Phone (516) 330-1741

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1215465604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142314",
            "telephone_number": "703-646-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142314",
            "telephone_number": "703-646-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANELL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.