Marlaysha Rae'Nae Johnson, B.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC11273 Issued in LA

Practice address

8932 Jewella Ave
Shreveport, LA 71118-2117

Phone

(318) 219-4167

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Marlaysha Rae'Nae Sophus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1326809203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 JEWELLA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182117",
            "telephone_number": "318-219-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 JEWELLA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182117",
            "telephone_number": "318-219-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6015 Hearne Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711083803",
            "country_code": "US",
            "telephone_number": "337-551-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 Fern Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711054973",
            "country_code": "US",
            "telephone_number": "318-200-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARLAYSHA",
        "middle_name": "RAE'NAE",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC11273",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC11273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLAYSHA",
            "last_name": "SOPHUS",
            "middle_name": "RAE'NAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Diane Johnson
• Lori R Johnson, MD
• Lydia Johnson
• Marilyn Johnson, MS
• Marisa Johnson, MD
• Marsha Johnson
• Martinez Johnson, MHS
• Megan O'Dell Johnson
• Melvie March Johnson
• Michelle Akin Johnson, P.A.

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.