Sha Ron Johnson, LPCC-S, LICDC, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1901262-SUPV Issued in OH

Practice address

20600 Chagrin Blvd Ste 320
Shaker Heights, OH 44122-5334

Phone

(216) 295-7239

Fax

(216) 295-7240

NPI assigned

Jul 22, 2014

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

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.

• Stradford Counseling Services LLC

  • Mental Health Counselor
  • Willoughby, OH
  • NPI 1063249399
  NPD Authorized official
• Specialized Alternatives for Families and Youth of Ohio, Inc.

  dba SAFY of Ohio

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1447216718
  NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1538576574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD STE 320",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225334",
            "telephone_number": "216-295-7239",
            "fax_number": "216-295-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHA RON",
        "name_prefix": "Dr.",
        "credential": "LPCC-S, LICDC, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161974",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901262-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uijeong Jo, PHARMD
• Aaliyah Johnson
• Janine Johnson
• Kalie Johnson
• Laura N Johnson
• Shaylynn Richelle Johnson
• Ellen Catherine Johnston, LSW
• Lauren Jolley, CNP
• Jacqueline Jolly
• Alaya Jones

• Mental Health Counselor in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.