Individual provider Active NPI

Anthea M Johnson, LPC

  • Professional Counselor
  • Norcross, GA
National Provider Identifier
1235575937
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010022 Issued in GA
Practice address
3295 River Exchange Dr Ste 568
Norcross, GA 30092-4241
Phone
(404) 410-6317
Fax
(404) 745-0567
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC010022 GA Primary
Counselor 101Y00000X A1303039 AR
Mental Health Counselor 101YM0800X LPC010022 GA

Addresses

Primary practice location

3295 River Exchange Dr Ste 568
Norcross, GA 30092-4241

Mailing address

PO Box 303
Norcross, GA 30091-0303
Phone (501) 213-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002274 GA Practitioner - Mental Health Counselor 8628414927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3295 River Exchange Dr
Suite 568
Norcross, GA 30092-4241
Phone (404) 410-6317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1303039ARMDCounselor
2071GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of Atlanta, LLC Professional CurrentSince Mar 4, 2025 Accepting new patients
Brave Health Medical Group PA Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

241 W Wieuca Rd NE
Ste 120
Atlanta, GA 30342
Phone (404) 228-0947

575 Pharr Rd NE
Unit 12291
Atlanta, GA 30355

3295 River Exchange Dr
Ste 568
Peachtree Corners, GA 30092
Phone (404) 410-6317

Organizations & group practices 2

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1235575937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300910303",
            "telephone_number": "501-213-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 568",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924241",
            "telephone_number": "404-410-6317",
            "fax_number": "404-745-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTHEA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010022",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1303039",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.