Individual provider Active NPI

Deshandra Felisha Johnson, LPC

  • Professional Counselor
  • Greenwood, SC
National Provider Identifier
1366016800
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12057 Issued in SC
Practice address
310 Tolbert Dr
Greenwood, SC 29649-6914
Phone
(864) 447-7127
NPI assigned
May 19, 2021
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12057 SC Primary

Addresses

Primary practice location

310 Tolbert Dr
Greenwood, SC 29649-6914

Mailing address

310 Tolbert Dr
Greenwood, SC 29649-6914
Phone (864) 447-7127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240616000053 SC Practitioner - Mental Health Counselor 9739622903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12057SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 25, 2021 Accepting new patients
Acceptance in Abundance LLC Professional Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Apr 23, 2026 Accepting new patients
Regenesis Organization Community Health Center PastSince Apr 23, 2026 Accepting new patients

Locations

1547 Parkway
Greenwood, SC 29646
Phone (864) 223-8331

115 Thomas St
#B
Union, SC 29379

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

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1366016800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TOLBERT DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296496914",
            "telephone_number": "864-447-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TOLBERT DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296496914",
            "telephone_number": "864-447-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESHANDRA",
        "middle_name": "FELISHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.