Individual provider Active NPI

Keyanna Johnson

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1609352996
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
622 Riverside Dr
Monroe, LA 71201-6211
Phone
(318) 398-0945
NPI assigned
Jul 19, 2018
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

622 Riverside Dr
Monroe, LA 71201-6211

Mailing address

1410 Royal Ave
Monroe, LA 71201-5608
Phone (318) 398-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004438 LA Practitioner - Mental Health Counselor 5991208332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Alabama School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1410 Royal Ave
Monroe, LA 71201-5608

700 Saint Mary St
Thibodaux, LA 70301-2156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9341LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Consulting Inc. CurrentSince Aug 28, 2025 Accepting new patients
House of Judah International, Inc Past Accepting new patients

Locations

1410 Royal Ave
Monroe, LA 71201
Phone (318) 322-0062

1410 Royal Ave
#J
Monroe, LA 71201
Phone (318) 998-3511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1609352996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015608",
            "telephone_number": "318-398-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 RIVERSIDE DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016211",
            "telephone_number": "318-398-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.