Santresda Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

217581 Issued in AK

Practice address

725 Kingsland Ave Ste 100
Saint Louis, MO 63130-3187

Phone

(907) 444-3928

NPI assigned

May 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: santresda.johnson.p1@direct.sokya.nextgenshare.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AK, MO

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MO

  Medicare reassignment NPD
• Thriving Lane

  • Psychiatry Physician
  • Naples, FL
  • NPI 1376122515

  AK

  Medicare reassignment NPD
• Thriveworks Clinical - Alaska LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1295452845
  Medicare reassignment

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1306410246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KINGSLAND AVE STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303187",
            "telephone_number": "907-444-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KINGSLAND AVE STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303187",
            "telephone_number": "907-444-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 NW 87th Ter Ste C-210",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641533720",
            "country_code": "US",
            "telephone_number": "907-444-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Depot Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995011615",
            "country_code": "US",
            "telephone_number": "907-444-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Park Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731027216",
            "country_code": "US",
            "telephone_number": "907-444-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 S Check St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548067",
            "country_code": "US",
            "telephone_number": "907-444-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Bannock St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026139",
            "country_code": "US",
            "telephone_number": "907-444-3928 x43928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Superior Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142654",
            "country_code": "US",
            "telephone_number": "907-444-3928 x43928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANTRESDA",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2025031718",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "7081005",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "7081005",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2606655",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "217581",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPCCANIDIDATE13178",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025031718",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2606655",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANIDIDATE13178",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "217581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuben Dempsey Johnson, MD
• Robert Johnson
• Rochelle Renee Johnson, MAED, MSW, LCSW
• Roger Johnson, P.T.
• Samantha Lynn Johnson, PNP
• Sarah Elizabeth Johnson, MS
• Sarah Elizabeth Johnson, MAC, PLPC
• Sarah Elizabeth Johnson
• Shani Johnson
• Sheldon Bryan Johnson, D.O.

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.