Organization Active NPI

Empowering Minds Care and Counseling

Doing business as Faith Richardson (Johnson)

  • Professional Counselor
  • Villa Rica, GA
National Provider Identifier
1568133445
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMPOWERING MINDS CARE AND COUNSELING
Doing business as
Faith Richardson (Johnson)
Practice address
1836 Carrollton Villa Rica Hwy Ste 103
Villa Rica, GA 30180-5193
Phone
(770) 783-9163
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Ms. Faith Johnson, LPC
Title
Owner
Phone
(770) 580-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1836 Carrollton Villa Rica Hwy Ste 103
Villa Rica, GA 30180-5193

Mailing address

108 Robert Hendrix Dr
Carrollton, GA 30117-2160
Phone (904) 446-5901

Other names 1

  • Faith Richardson (Johnson) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827002923 GA Part B Supplier - Clinic/Group Practice 6901307404 Receives reassigned benefits from 1 practitioner
Practice locations: Villa Rica, GA

National Provider Directory

National Provider Directory

Locations

1836 Carrollton Villa Rica Hwy
Ste 103
Villa Rica, GA 30180
Phone (404) 955-8558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1568133445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROBERT HENDRIX DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172160",
            "telephone_number": "904-446-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 CARROLLTON VILLA RICA HWY STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805193",
            "telephone_number": "770-783-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS CARE AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-580-3831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Richardson (Johnson)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith Richardson (Johnson)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.