Shaheedra Aveonne Johnson, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

90422 Issued in TX

Practice address

4040 N Central Expy Ste 670
Dallas, TX 75204-3158

Phone

(469) 290-4285

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Collin County Mental Health Mental Retardation Center

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TX

  Medicare reassignment NPD
• Still Rising Counseling Services PLLC

  • Professional Counselor
  • Mesquite, TX
  • NPI 1174353098
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1497599054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 JADE FOREST LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814310",
            "telephone_number": "469-290-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N CENTRAL EXPY STE 670",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043158",
            "telephone_number": "469-290-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 S Bryan Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751494663",
            "country_code": "US",
            "telephone_number": "972-288-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAHEEDRA",
        "middle_name": "AVEONNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie L. Johnson, WHCNP
• Sam Johnson
• Sandy Johnson, LPC
• Sarah Ashley Johnson, MD
• Sean Daniel Johnson, M.D.
• Shakira A. Johnson, PA-C
• Shatona Vanetta Johnson
• Sheena Johnson, PMHNP
• Shelby Lynn Johnson
• Shiny Mary Johnson, PHARM-D

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.