Mary Elisabeth Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

009275 Issued in GA

Practice address

200 Leake St Ste 106
Cartersville, GA 30120-3562

Phone

(770) 615-0218

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Etowahcs, LLC

  • Professional Counselor
  • Cartersville, GA
  • NPI 1669064390
  NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1609654060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DAVIS DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "770-615-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "009275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Audiology
• Johnson Audiology of Cartersville Inc
• Jennifer M Johnson
• Kirsten Nations Johnson, CPNP
• Lori Gaddis Johnson, M.S.
• Pamela A Johnson, LAPC
• Andwele M Jolly, PT
• Sarah E Jolly
• Jonathan M. Owens, DMD, PC
• Eric Quincy Jones

• Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.