Jena P Johnson, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15749 Issued in NC

Practice address

713 N Eugene St
Greensboro, NC 27401-1621

Phone

(336) 270-9501

NPI assigned

Jul 9, 2020

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Mar 13, 2026 through Mar 13, 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 and National Provider Directory roles.

• Vibrant Life Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1750979332
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1407474109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 FORDING CREEK LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846347",
            "telephone_number": "336-301-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011621",
            "telephone_number": "336-270-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 Fording Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272846347",
            "country_code": "US",
            "telephone_number": "336-301-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENA",
        "middle_name": "P",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Truby Johnson, DPT
• Imani Johnson
• Jamaya Johnson
• Janet Lee Johnson, NURSE AIDE
• Jasmine Shree Johnson
• Jeremy Johnson, P.A.-C
• Jessica Carroll Johnson
• Kadaja Johnson
• Kathleen Rose Johnson, PA-C
• Kathy La Rue Johnson

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, 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 Aug 2, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.