Elijah Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

120715 Issued in IA

Practice address

227 NW School St
Ankeny, IA 50023-1746

Phone

(515) 225-4006

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 8, 2026 through May 8, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Life Counseling PC

  • Mental Health Counselor
  • Ankeny, IA
  • NPI 1356479554
  NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1346015070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CRESTWOOD DR",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501249479",
            "telephone_number": "515-777-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 NW SCHOOL ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231746",
            "telephone_number": "515-225-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIJAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "120715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JGR Corporation PC
• Brenna Elyse Jiron, ARNP
• Shawna Johansen, LMHC
• Ashlley L Johnson, LMSW
• Destiny Nicole Johnson
• Emily K Johnson, NP
• Guissella Johnson
• Keria Ches Johnson, RN
• Kiley Johnson, M.A., BCBA
• Michele Johnson, MA, TEMP LMHC, CADC

• Mental Health Counselor in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.