Individual provider Active NPI

James Allen Johnson Jr., ED.S., LMFT, BCN

  • Marriage & Family Therapist
  • Virginia Beach, VA
National Provider Identifier
1548513807
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002157 Issued in VA
Practice address
4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994
Phone
(757) 251-0879
Fax
(984) 220-9437
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 0717002157 VA Primary
Pastoral Counselor 101YP1600X

Addresses

Primary practice location

4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994

Mailing address

4224 Quailshire CT
Chesapeake, VA 23321-3197
Phone (757) 589-0293

Other practice location 1

355 Crawford St Ste 333
Portsmouth, VA 23704-2819
Phone (757) 589-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260214000741 VA Practitioner - Marriage and Family Therapist 1951881325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Nurse Practitioner PLLCGroup PAC ID 7113329517, 8 clinicians

Practice addresses (Care Compare)

4360 Shore Dr
Suite 101
Virginia Beach, VA 23455-2994
Phone (757) 251-0879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717002157VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anger Management Hampton Roads LLC CurrentSince Sep 23, 2024 Accepting new patients
Your Nurse Practitioner PLLC Marriage & Family Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

4360 Shore Dr
Ste 101
Virginia Beach, VA 23455
Phone (757) 251-0879

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1548513807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 QUAILSHIRE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213197",
            "telephone_number": "757-589-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 SHORE DR STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552994",
            "telephone_number": "757-251-0879",
            "fax_number": "984-220-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Crawford St Ste 333",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042819",
            "country_code": "US",
            "telephone_number": "757-589-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ED.S., LMFT, BCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002157",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.