Anna Johnson, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2210022 Issued in AR

Practice address

8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200

Phone

(501) 557-6785

Fax

(501) 613-0411

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Sams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Salt Counseling and Consultation, Inc.

  • Mental Health Counselor
  • Greenbrier, AR
  • NPI 1184119257

  Mental Health

  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1497466247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785",
            "fax_number": "501-613-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785",
            "fax_number": "501-613-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3358 S 2nd St Ste A-C",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720237873",
            "country_code": "US",
            "telephone_number": "501-286-6053",
            "fax_number": "501-286-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANNA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "F2302001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2210022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jcas Inc
• Jcas, Inc.
• Tracy Jeane, M.S., CCC-SLP
• Danielle R Jenkins, CNP
• Jarrod Jerry, A.P.N.
• Kimberly Dawn Johnson, L.P.C.
• Shauna Johnson
• Kala Jones
• Heather Killough, APRN
• Victoria Raylene King

• All providers in Greenbrier, AR
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.