Mary Johnson, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21497 Issued in NC

Practice address

1514 S Church St Ste 101
Charlotte, NC 28203-4265

Phone

(980) 580-3532

NPI assigned

Jul 26, 2025

Last updated

Jul 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1598648891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LOUISE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042339",
            "telephone_number": "917-689-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S CHURCH ST STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034265",
            "telephone_number": "980-580-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Kamachi Johnson, BCBA
• Mallory Brooke Johnson, NP
• Manita Yvette Johnson
• Marc Alexander Johnson, MD
• Mariah Elizabeth Johnson, MD
• Matrika D. Johnson, MD
• Meg Johnson, MT-BC
• Megan Johnson, CGC
• Melissa A Johnson, PA-C
• Mi-Chele' Johnson, PTA

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.