Organization Active NPI

V.K. Johnson, LCSW & Consultants, LLC

  • Community/Behavioral Health Agency
  • Jackson, MS
National Provider Identifier
1326502535
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
V.K. JOHNSON, LCSW & CONSULTANTS, LLC
Practice address
2637 Ridgewood Rd Ste de
Jackson, MS 39216-4922
Phone
(601) 260-3065
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Venessia JohnsonNPI 1437640463
Title
Owner
Phone
(601) 260-3065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2637 Ridgewood Rd Ste de
Jackson, MS 39216-4922

Mailing address

194 Midway Estates Dr
Terry, MS 39170-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190315002461 MS Part B Supplier - Clinic/Group Practice 5294075925 Receives reassigned benefits from 1 practitioner
Practice locations: Terry, MS

National Provider Directory

National Provider Directory

Locations

2637 Ridgewood Rd
Jackson, MS 39216
Phone (601) 260-3065

2637 Ridgewood Rd
Ste De
Jackson, MS 39216
Phone (601) 260-3065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326502535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MIDWAY ESTATES DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 RIDGEWOOD RD STE DE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164922",
            "telephone_number": "601-260-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.K. JOHNSON, LCSW & CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VENESSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-260-3065"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.