Keisha H Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004077 Issued in GA

Practice address

7130 Mount Zion Blvd Ste 7
Jonesboro, GA 30236-2566

Phone

(678) 610-4497

Fax

(678) 610-0404

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keishajohnson@tdh.allscriptsdirect.net

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.

• Grady Memorial Hospital Corporation

  dba Grady Health System

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• Family Empowerment Services, Inc.

  • Mental Health Counselor
  • Jonesboro, GA
  • NPI 1144419748
  Authorized official Same address or phone
• Grady Memorial Hospital Corporation

  dba Grady Inpatient Rehabilitation Unit

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1407125834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD STE 7",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "678-610-4497",
            "fax_number": "678-610-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD STE 7",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "678-610-4497",
            "fax_number": "678-610-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEISHA",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amariyah Tiana Johnson
• Audrina Taylor Johnson, WHNP
• Bailey Johnson
• Bria-Olivia Johnson, MS, ATC
• Diane Johnson
• Lanell Johnson
• Mark J Johnson, MD
• Rashida Johnson
• Sherron Johnson, NP
• Tashara Johnson, IBCLC

• Professional Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.