Rebecca Johnson, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14585 Issued in FL

Practice address

1216 SW 4TH St Ste 5
Cape Coral, FL 33991-2129

Phone

(239) 360-8986

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Eagle'S Wings Counseling Center, Inc.

  • Mental Health Counselor
  • Venice, FL
  • NPI 1174857486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1295189579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SW 4TH ST STE 5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912129",
            "telephone_number": "239-360-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SW 4TH ST STE 5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912129",
            "telephone_number": "239-360-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Commercial Ct",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921653",
            "country_code": "US",
            "telephone_number": "941-375-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12428",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Kay Johnson, DC
• Lana L Johnson, ITDS
• Larry Dean Johnson, DC
• Megan Johnson
• Paige Johnson, MS, BCBA
• Sarajane Johnson, ARNP
• Tammy Johnson, O.D.
• Taylisa Johnson
• Viveca Johnson
• William Michael Johnson, M.D.

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.