Michael K Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8612 Issued in SC

Practice address

1 Professional Dr Ste 8
Port Royal, SC 29935-1104

Phone

(854) 245-0184

Fax

(980) 303-2682

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Inner Rest Counseling, LLC

  • Professional Counselor
  • Port Royal, SC
  • NPI 1780455410
  NPD Authorized official
• Inner Rest Counseling, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1992505697
  NPD
• Anderson Counseling and Consulting Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1629416029

  Professional

  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1417452905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARKLANDS DR UNIT 1737",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105193",
            "telephone_number": "854-245-0184",
            "fax_number": "980-303-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 8",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351104",
            "telephone_number": "854-245-0184",
            "fax_number": "980-303-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Medical Plaza Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628700",
            "country_code": "US",
            "telephone_number": "704-208-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13893",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13893",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Istrate, PT, DPT
• James F. McNab MD LLC
• Jamison Consultants, LLC
• Patricia Nichole Jenkins
• Alex Walker Johnson, DO
• Kathryn Mitchell Jones, FNP
• Laura B Kaiser, PA-C
• Anna Jean Keating, FNP-BC
• Charmaine Marie Kelly, PA-C
• Bradley Kennedy, D.P.T.

• Professional Counselor in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.