Active NPI
Whitney Brooke Johnson, LPC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1225273378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6504
- Practice address
- 219 N Boylan Ave
Suite 205
Raleigh, NC 27603-1424 - Phone
- (919) 607-0256
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6504 | NC | Primary |
Addresses
Primary practice location
219 N Boylan Ave
Suite 205
Raleigh, NC 27603-1424
Mailing address
219 N Boylan Ave
Suite 205
Raleigh, NC 27603-1424
Phone (919) 607-0256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1225273378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 N BOYLAN AVE",
"address_2": "SUITE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031424",
"telephone_number": "919-607-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N BOYLAN AVE",
"address_2": "SUITE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031424",
"telephone_number": "919-607-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WHITNEY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.