Individual provider Active NPI

Lauren Johnson, MA, LRIC

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1245943117
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704008956 Issued in VA
Practice address
3730 Candlers Mountain Rd Ste 1016
Lynchburg, VA 24502-2228
Phone
(434) 515-0695
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 0704008956 VA Primary

Addresses

Primary practice location

3730 Candlers Mountain Rd Ste 1016
Lynchburg, VA 24502-2228

Mailing address

3730 Candlers Mountain Rd Ste 1016
Lynchburg, VA 24502-2228
Phone (434) 515-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2026 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704008956VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroqueering Counseling Services, LLC Mental Health CurrentSince Dec 3, 2023 Accepting new patients

Locations

3730 Candlers Mountain Rd
Ste 1016
Lynchburg, VA 24502
Phone (434) 515-0695

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1245943117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 CANDLERS MOUNTAIN RD STE 1016",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022228",
            "telephone_number": "434-515-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 CANDLERS MOUNTAIN RD STE 1016",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022228",
            "telephone_number": "434-515-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUREN",
        "credential": "MA, LRIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704008956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.