Angel G Johnson, MA, LPC, LPCS, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5215 Issued in SC

Practice address

6156 Saint Andrews Rd Ste 105
Columbia, SC 29212-3147

Phone

(803) 708-7990

Fax

(803) 636-2637

NPI assigned

Jul 9, 2009

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brighter Pathways, LLC

  • Professional Counselor
  • Columbia, SC
  • NPI 1235550609
  NPD Authorized official

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1457580615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290631276",
            "telephone_number": "803-708-7990",
            "fax_number": "803-636-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 SAINT ANDREWS RD STE 105",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123147",
            "telephone_number": "803-708-7990",
            "fax_number": "803-636-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGEL",
        "middle_name": "G",
        "credential": "MA, LPC, LPCS, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC4870",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4956",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1142",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akira Johnson, COSMETOLOGIST
• Alexandra Johnson
• Allison Johnson
• Andrea Marie Johnson
• Andrew T. Johnson, D.M.D.
• Annmarie Johnson, FNP
• Athena F Johnson
• Bianca Anquella Johnson, LCSW
• Brandon Fitts Johnson, DMD
• Brenda Johnson, SOCIAL WORKER

• Professional Counselor in Columbia, SC
• Providers in Columbia, 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 Aug 21, 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.