Active NPI
Jhane' Hadiya Johnson, LCAS
- Addiction (Substance Use Disorder) Counselor
- Cary, NC
National Provider Identifier
1316548233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1903 N Harrison Ave Ste 200
Cary, NC 27513-3093 - Phone
- (919) 218-4211
- Fax
- (877) 292-0656
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Social Worker | 104100000X | 0906009697 | VA |
Addresses
Primary practice location
1903 N Harrison Ave Ste 200
Cary, NC 27513-3093
Mailing address
200 Great Ridge CT
Morrisville, NC 27560-6788
Phone (919) 218-4211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCAS26321 | Other | NC | NC STATE LICENSE |
| 0906009697 | Other | VA | SUPERVISEE LICENSE |
| 0734001439 | Other | VA | TRAINEE MENTAL HEALTH PROFESSIONAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WakeCounty | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0906009697 | VA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivotal Point Solution | Social Worker | Current | Accepting new patients |
Locations
1903 N Harrison Ave
Ste 200
Cary, NC 27513
Phone (919) 218-4211
1903 N Harrison Ave
Cary, NC 27513
Phone (919) 772-1990
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": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1316548233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GREAT RIDGE CT",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606788",
"telephone_number": "919-218-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 N HARRISON AVE STE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275133093",
"telephone_number": "919-218-4211",
"fax_number": "877-292-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JHANE'",
"middle_name": "HADIYA",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0906009697",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "LCAS26321",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERVISEE LICENSE",
"identifier": "0906009697",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINEE MENTAL HEALTH PROFESSIONAL",
"identifier": "0734001439",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WakeCounty",
"affiliation": "N",
"endpointDescription": "Location of Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "County of Office",
"address_1": "1903 N Harrison Ave",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "275133092",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.