Alisa Louise Johnston, LPC, NCC, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1254 Issued in MS

Practice address

361 Towne Center Blvd
Suite 1300
Ridgeland, MS 39157

Phone

(601) 977-9353

Fax

(601) 977-9422

NPI assigned

May 18, 2011

Last updated

May 18, 2011By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Bridge to Recovery

  • Mental Health Counselor
  • Ridgeland, MS
  • NPI 1972631141
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1306139704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER BLVD",
            "address_2": "SUITE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-977-9353",
            "fax_number": "601-977-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER BLVD",
            "address_2": "SUITE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-977-9353",
            "fax_number": "601-977-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALISA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1254",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "W4620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald A Johnson, LPTA
• Sameerah Johnson, FNP
• Traci Lynn Johnson, COTA
• Vertisha Johnson
• Wilma Renee Johnson, COTA/L
• Carey Alan Johnston, D.M.D.
• John B. Jolly, PSY.D.
• Priscilla Almond Jolly, D.M.D.
• Adrian Jones
• Kristy Goff Jones, DMD

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.