Individual provider Active NPI

Chanel Renee Johnson

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1265244669
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701014346 Issued in VA
Practice address
1909 Huguenot Rd Ste 202
North Chesterfield, VA 23235-4314
Phone
(804) 350-7952
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 0701014346 VA Primary

Addresses

Primary practice location

1909 Huguenot Rd Ste 202
North Chesterfield, VA 23235-4314

Mailing address

2423 Golden Garden Cir
Chester, VA 23836-6213
Phone (757) 508-2068

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
0701014346VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Counseling Associates, LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

1909 Huguenot Rd
Ste 202
North Chesterfield, VA 23235
Phone (795) 280-4350

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1265244669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 GOLDEN GARDEN CIR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366213",
            "telephone_number": "757-508-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HUGUENOT RD STE 202",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354314",
            "telephone_number": "804-350-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHANEL",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.