Sandra J Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

010183 Issued in GA

Practice address

29206 Highway 40 W # A12
Independence, LA 70443-3466

Phone

(985) 286-3060

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

Yes

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: sandrajohnson@tdh.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2025.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1508969668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1631",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704431631",
            "telephone_number": "985-286-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29206 HIGHWAY 40 W # A12",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704433466",
            "telephone_number": "985-286-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence Family Clinic LLC
• Independence Medical Clinic, LLC
• Integrated Health and Wellness LLC
• Tymeshia Michelle Jackson
• Moritha Johnson
• Miranda C Johnston, P.A.
• Terry Randall Jones, MD
• Ryan Brandon Joseph
• Debra D Khalid-Abasi, A.P.N.
• L a Homecare 1 Inc

• All providers in Independence, LA
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.