Individual provider Active NPI

Erica L Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, OH
National Provider Identifier
1336395706
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP026168 Issued in OH
Practice address
400 E State St
Athens, OH 45701-1856
Phone
(614) 743-4640
NPI assigned
Aug 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN270058 OH
Registered Nurse 163W00000X 61151126 WA
Registered Nurse 163W00000X 256698-30 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61151704 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP026168 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-CNP026168 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10456-33 WI

Addresses

Primary practice location

400 E State St
Athens, OH 45701-1856

Mailing address

1125 W Woodruff Ave
Toledo, OH 43606-4853
Phone (419) 309-2659

Other practice location 1

1125 W Woodruff Ave
Toledo, OH 43606-4853
Phone (419) 206-7258

Other identifiers 1

IdentifierTypeStateIssuer
0403888MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200221000494 OH Practitioner - Nurse Practitioner 4486081049 Reassigns benefits to 2 organizations
I20201209002185 WI Practitioner - Nurse Practitioner 4486081049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN270058OHMDRegistered Nurse
61151126WAMDRegistered Nurse
256698-30WIMDRegistered Nurse
APRN-CNP026168OHMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP026168OHMDPsychiatric/Mental Health Nurse Practitioner
61151704WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ecare Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Mar 26, 2021 Accepting new patients
Comprehensive Behavioral Health Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Sunlight Health Services, LLC Psychiatric/Mental Health CurrentSince May 26, 2024 Accepting new patients
Wilson, Leigh & Associates LLC Psychiatric/Mental Health PastSince Jun 16, 2024 Accepting new patients

Locations

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

5151 Monroe St
Ste 250F
Toledo, OH 43623
Phone (419) 407-6605

4730 University Way NE
Ste 104
Seattle, WA 98105
Phone (206) 627-0995

Organizations & group practices 4

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": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1336395706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W WOODRUFF AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064853",
            "telephone_number": "419-309-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011856",
            "telephone_number": "614-743-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436064853",
            "country_code": "US",
            "telephone_number": "419-206-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN270058",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "61151126",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "256698-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61151704",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP026168",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN-CNP026168",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10456-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.