Pamela Deshawn Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007455 Issued in GA

Practice address

4751 Best Rd Ste 400G
College Park, GA 30337-5609

Phone

(470) 645-2756

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Essential Counseling & Consulting Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • College Park, GA
  • NPI 1669946943
  NPD Authorized official
• Essential Counseling & Consulting, Inc

  • Mental Health Counselor
  • College Park, GA
  • NPI 1932721784
  NPD Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1326314667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400G",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "470-645-2756",
            "fax_number": "404-953-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400G",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "470-645-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "DESHAWN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007455",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "NCC 259849",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry E Nutt DDS & Assoc of College Park
• Jireh Counseling and Consulting Services, Inc.
• Johnson Healthcare Group Inc
• Brianna Nicole Johnson, DC
• Keith Johnson
• Schantate Johnson, LMSW
• Katrina Shantell Jones, LAMFT
• Marcia D Jones, M.S., NCC, LPC
• Stacie Brooke Jones, RN, IBCLC
• Taylor Jones, DMD

• Professional Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.