Individual provider Active NPI

Carmalita Johnson, MS

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1427428424
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PLC6327 Issued in LA
Practice address
908 N 3Rd St
Monroe, LA 71201-5844
Phone
(318) 325-8782
Fax
(318) 325-8749
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PLC6327 LA Primary

Addresses

Primary practice location

908 N 3Rd St
Monroe, LA 71201-5844

Mailing address

908 N 3Rd St
Monroe, LA 71201-5844
Phone (318) 325-8782

Other identifiers 1

IdentifierTypeStateIssuer
PLC6327OtherLALPC BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PLC6327LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River City Professional Counseling Past Accepting new patients
Inspired Creative Solutions Therapy, LLC Professional Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1427428424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015844",
            "telephone_number": "318-325-8782",
            "fax_number": "318-325-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015844",
            "telephone_number": "318-325-8782",
            "fax_number": "318-325-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARMALITA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC6327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC BOARD",
            "identifier": "PLC6327",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.