Active NPI
Annesha Johnson
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1508340191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2940 E Park Ave
Tallahassee, FL 32301-3446 - Phone
- (850) 643-1033
- Fax
- (850) 643-5066
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2940 E Park Ave
Tallahassee, FL 32301-3446
Mailing address
2014 Midyette Rd Apt 205
Tallahassee, FL 32301-6255
Phone (786) 566-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104150200X | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1508340191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 MIDYETTE RD APT 205",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323016255",
"telephone_number": "786-566-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E PARK AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013446",
"telephone_number": "850-643-1033",
"fax_number": "850-643-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANNESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104150200X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
- Johnson &Pleas Home Care Nursing Service LLC
- Johnson &Pleas Home Care Nursing Service LLC (Dora Home Care Service,)
- Allison Leigh Johnson Howell, RN
- Ania Johnson, PHARMD
- Anneka Clarise Johnson, APRN
- Audrey Boller Johnson
- Brian Omar Johnson, PHARM. D.
- Brianna Johnson
- Brittani Renee Johnson, M.S. CF-SLP
- Brittany Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.