Active NPI
Johanna Isabel Lee
- Professional Counselor
- San Diego, CA
National Provider Identifier
1245704865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC13089
- Practice address
- 3002 Armstrong St
San Diego, CA 92111-5702 - Phone
- (619) 373-4754
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Professional Counselor | 101YP2500X | LPCC13089 | CA | Primary |
Addresses
Primary practice location
3002 Armstrong St
San Diego, CA 92111-5702
Mailing address
3002 Armstrong St
San Diego, CA 92111-5702
Phone (619) 373-4754
Other practice location 1
504 W Mission Ave Ste 106
Escondido, CA 92025-1603
Phone (619) 851-4274
Other practice location 2
504 W Mission Ave Ste 106
Escondido, CA 92025-1603
Phone (619) 851-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC13089 | CA | MD | Professional Counselor |
| 13089 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1245704865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 ARMSTRONG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115702",
"telephone_number": "619-373-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 ARMSTRONG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115702",
"telephone_number": "619-373-4754"
}
],
"practiceLocations": [
{
"address_1": "504 W Mission Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920251603",
"country_code": "US",
"telephone_number": "619-851-4274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 W Mission Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920251603",
"country_code": "US",
"telephone_number": "619-851-4274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOHANNA",
"middle_name": "ISABEL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC13089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.