Traci Yvette Johnson, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18513 Issued in NC

Practice address

9370 Falls of the Neuse Road Suite 203
Raleigh, NC 27615

Phone

(919) 559-4662

NPI assigned

Feb 21, 2023

Last updated

Feb 27, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parr Therapeutic Solutions

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1336618693
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1518665298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 CEDARSHIRE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169098",
            "telephone_number": "919-749-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 FALLS OF THE NEUSE ROAD SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-559-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACI",
        "middle_name": "YVETTE",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Tang Johnson, M.D.
• Sonia Lynee Johnson
• Taij Mallory Johnson, LPCA
• Teilexis Rajene' Brichel Johnson
• Timisha Mercedes Johnson
• Tykeena Lee Johnson
• Valencia Meshay Johnson
• Victoria N Johnson, CD(DONA)
• Whitney Brooke Johnson, LPC
• William Carlyle Johnson, PH.D.

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.