Active NPI
Maya Johnson, MS
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1578218178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6853
- Practice address
- 2180 Union Ave
Memphis, TN 38104-4205 - Phone
- (901) 300-9993
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39005322A | IN | |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 6401225035 | MI | |
| Mental Health Counselor | 101YM0800X | 6853 | TN | Primary |
Addresses
Primary practice location
2180 Union Ave
Memphis, TN 38104-4205
Mailing address
4019 S Germantown Rd
Memphis, TN 38125-2621
Phone (901) 878-5717
Other practice location 1
49 W Maryland St Ste 118
Indianapolis, IN 46204-3523
Phone (888) 500-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39005322A | IN | MD | Mental Health Counselor |
| 6401225035 | MI | MD | Mental Health Counselor |
| 6853 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Mental Health | Past | Accepting new patients |
| Kindred Place, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Memphis, TN
- NPI 1619241643
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1578218178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 S GERMANTOWN RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252621",
"telephone_number": "901-878-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044205",
"telephone_number": "901-300-9993"
}
],
"practiceLocations": [
{
"address_1": "49 W Maryland St Ste 118",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462043523",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAYA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39005322A",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401225035",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "6853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.