Individual provider Active NPI

Trinity Channelle Johnson, LP

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1548948227
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6975 Issued in NC
Practice address
15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone
(704) 251-9084
Fax
(877) 513-7720
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6975 NC Primary
Clinical Psychologist 103TC0700X 6975 NC

Addresses

Primary practice location

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878

Mailing address

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone (704) 251-9084

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

State licenses

LicenseStateTypeSpecialty
6975NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Carolinas PLLC Psychologist CurrentSince Dec 21, 2025 Accepting new patients

Locations

15801 Brixham Hill Ave
Ste 475
Charlotte, NC 28277
Phone (704) 251-9084

Organizations & group practices 1

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1548948227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084",
            "fax_number": "877-513-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084",
            "fax_number": "877-513-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRINITY",
        "middle_name": "CHANNELLE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6975",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.