Amy Dale Mercado Johnson, M.ED., LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8796 Issued in NC

Practice address

711 Executive PL
Fayetteville, NC 28305-5193

Phone

(910) 615-3750

NPI assigned

Oct 27, 2011

Last updated

May 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• Dunn Medical Services LLC

  dba Cape Fear Valley Primary Care-Dunn

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1184921843
  Medicare reassignment NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment
• Cumberland County Hospital System Inc

  dba Community Mental Health Center at Cape Fear Valley

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1578996252
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• Dunn Psychological Associates, PA

  • Clinical Psychologist
  • Dunn, NC
  • NPI 1174712798

  Professional

  NPD (past)
• Peoples Therapy Inc

  • Counselor
  • Dunn, NC
  • NPI 1770749921
  NPD (past)
• Southern Wake Counseling Center

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1356596720
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376829945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 EXECUTIVE PL FL 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055193",
            "telephone_number": "910-615-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465615",
            "country_code": "US",
            "telephone_number": "910-892-4248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Tilghman Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283346699",
            "country_code": "US",
            "telephone_number": "910-892-1091",
            "fax_number": "910-892-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 N Raleigh St",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018920",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "DALE MERCADO",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8796",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8796",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "QS142206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104912",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Johnson
• Alia Jesinia Johnson
• Alisha Kelona Johnson, M.D.
• Allaniyah Johnson
• Amauri Johnson
• Amy Lynn-Smith Johnson, MSW, LCSW
• Andrea Johnson
• Anesha A Johnson
• Ava Annette Johnson, RD
• Brandi Lachell Johnson

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.