Joan Sharon Johnson
Individual provider Active NPI Mental Health Counselor · New Haven, VT
NPI 1265423396 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1265423396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 30 North St
New Haven, VT 05472-2003 - Phone
- (802) 453-7912
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068000272 | VT | MD | Mental Health Counselor |
| 0680000272 | VT | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0680000272 | VT | |
| Mental Health Counselor | 101YM0800X | VT | Yes |
Addresses
Primary practice location
30 North St
New Haven, VT 05472-2003
Mailing address
30 North St
New Haven, VT 05472-2003
Phone (802) 453-7912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007025 | Medicaid | VT |
Other providers in New Haven, VT
- Hilary Frost Boyle
- Mary-Katherine Clark
- Sara Daly
- Dynamic Engagement Institute, L3C
- Michele Aaron Fouts
- Rebecca Kennedy
- Amanda Locker
- Stuart Moore Maccrellish
- Andrew R. Morton
- Theresa Anne Sawyer
All providers in New Haven, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.