Individual provider Active NPI

Iesha Johnson, MS, LMHCA

  • Mental Health Counselor
  • Merrillville, IN
National Provider Identifier
1609600071
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99124301A Issued in IN
Practice address
7725 Broadway
Merrillville, IN 46410-4731
Phone
(219) 736-1000
Fax
(219) 736-9699
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 99124301A IN
Mental Health Counselor 101YM0800X 99124301A IN Primary

Addresses

Primary practice location

7725 Broadway
Merrillville, IN 46410-4731

Mailing address

6017 E 115TH LN
Winfield, IN 46307-0240
Phone (219) 292-8345

Other practice location 1

9335 Calumet Ave Ste D
Munster, IN 46321-4176
Phone (219) 513-8508

Other names 1

  • Iesha King Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
99124301AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1609600071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 E 115TH LN",
            "city": "WINFIELD",
            "state": "IN",
            "postal_code": "463070240",
            "telephone_number": "219-292-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104731",
            "telephone_number": "219-736-1000",
            "fax_number": "219-736-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9335 Calumet Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214176",
            "country_code": "US",
            "telephone_number": "219-513-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "IESHA",
        "credential": "MS, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "99124301A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99124301A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IESHA",
            "last_name": "KING",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.