Demetrous Johnston, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024180054 Issued in VA

Practice address

809 Kent PL
Chesapeake, VA 23320-0768

Phone

(757) 436-0605

Fax

(833) 449-5172

NPI assigned

Sep 7, 2020

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

Enrolled in VA

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Virginia IncGroup PAC ID 3971945924, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Optum Behavioral Care of Virginia, Inc.

  • Counseling Psychologist
  • Henrico, VA
  • NPI 1396518718
  Medicare reassignment Care Compare group NPD
• City of Chesapeake

  • Community/Behavioral Health Agency
  • Chesapeake, VA
  • NPI 1073650099
  Medicare reassignment NPD
• City of Chesapeake

  • Ambulance
  • Chesapeake, VA
  • NPI 1659385938
  NPD
• Coastal Counseling Center Inc

  • Mental Health Counselor
  • Chesapeake, VA
  • NPI 1639264112
  NPD
• Optum Behavioral Care of Virginia, Inc.

  • Psychologist
  • Chesapeake, VA
  • NPI 1417720830
  NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1053290973
  NPD
• Ronald W. Atwood, M.D., P.C.

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1982637575
  NPD (past)
• Transitions Empowerment Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, VA
  • NPI 1982097184
  NPD (past)

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1407460413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 CORKWOOD CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205107",
            "telephone_number": "757-214-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 KENT PL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200768",
            "telephone_number": "757-436-0605",
            "fax_number": "833-449-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DEMETROUS",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-07",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Shearn Johnson, PA
• Virginia W Johnson, NP-C
• Walter Simon Johnson, LPC, CCMHC, NCC
• Zaire Johnson
• Carrie Sue Johnston, OTR/L
• Frank Anthony Johnston, DDS
• Vincent B. Johnston, M.D.
• Debra K. Jolly, LPC
• Jonathan R. Schaier, D.C.,P.C.
• Adriana M Jones, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.