Active NPI
Johnika Shontea Golden, LCMHCA
- Mental Health Counselor
- Dunn, NC
National Provider Identifier
1447069927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A19913
- Practice address
- 731 Tilghman Dr
Dunn, NC 28334-5507 - Phone
- (910) 249-4219
- Fax
- (866) 279-1991
- NPI assigned
- Dec 30, 2024
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A19913 | NC | Primary |
Addresses
Primary practice location
731 Tilghman Dr
Dunn, NC 28334-5507
Mailing address
2536 Forest Lodge Dr
Fayetteville, NC 28306-7780
Phone (910) 476-6215
Other practice location 1
1540 Purdue Dr
Fayetteville, NC 28303-5509
Phone (910) 292-6597
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19913 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricare Counseling & Consulting, Inc. | Mental Health | Current | Accepting new patients |
Locations
731 Tilghman Dr
Dunn, NC 28334
Phone (910) 249-4219
Organizations & group practices 1
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.
-
dba Tricare Child & Family Counseling
- Community/Behavioral Health Agency
- Dunn, NC
- NPI 1225343502
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1447069927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 FOREST LODGE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283067780",
"telephone_number": "910-476-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 TILGHMAN DR",
"city": "DUNN",
"state": "NC",
"postal_code": "283345507",
"telephone_number": "910-249-4219",
"fax_number": "866-279-1991"
}
],
"practiceLocations": [
{
"address_1": "1540 Purdue Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283035509",
"country_code": "US",
"telephone_number": "910-292-6597",
"fax_number": "866-279-1991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDEN",
"first_name": "JOHNIKA",
"middle_name": "SHONTEA",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A19913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.