Individual provider Active NPI

Maya Johnson, MS

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1578218178
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6853 Issued in TN
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

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39005322AINMDMental Health Counselor
6401225035MIMDMental Health Counselor
6853TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Mental Health PastSince Aug 3, 2025 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.

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

Verify at the official NPI Registry.