Audrice V Johnson, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008511 Issued in VA

Practice address

9011 Arboretum Pkwy Ste 200
North Chesterfield, VA 23236-3486

Phone

(804) 977-2817

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Renewed & Restored Counseling Services, LLC

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1578449427
  NPD Authorized official
• Seaside Wellness, LLC

  • Mental Health Counselor
  • Yorktown, VA
  • NPI 1255026746
  NPD
• Henrico Area Mental Heatlh and Developmental Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1023119773
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1427601608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 KIM DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232245640",
            "telephone_number": "804-691-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 ARBORETUM PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363486",
            "telephone_number": "804-977-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Southlake Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232363067",
            "country_code": "US",
            "telephone_number": "804-901-5628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDRICE",
        "middle_name": "V",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701008511",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John'E Jasper Epps, DDS, PLC
• Kimone Latoya Johns, DNP, FNP-BC, PMHNP-B
• Alease Baskfield Johnson, LPC, NCC
• Aliyah Johnson
• Archelle Johnson, AG-PNP
• Bonnie P Johnson, N.P.
• Brian Johnson
• Bryan A Johnson, M.D.
• Chanel Renee Johnson
• Latarsha Nicole Johnson, HAIR LOSS SPECIALIST

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.