Individual provider Active NPI

Laura I Johnson, LPC

  • Professional Counselor
  • Henrico, VA
National Provider Identifier
1619458759
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015032 Issued in VA
Practice address
7760 Shrader Rd
Henrico, VA 23228-2552
Phone
(804) 591-0002
Fax
(833) 449-5204
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10000046 MA
Professional Counselor 101YP2500X 0701015032 VA Primary

Addresses

Primary practice location

7760 Shrader Rd
Henrico, VA 23228-2552

Mailing address

7760 Shrader Rd
Henrico, VA 23228-2552
Phone (804) 591-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251218002142 VA Practitioner - Mental Health Counselor 3274983564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

7760 Shrader Rd
Suite B
Henrico, VA 23228-2552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC10000046MAMDMental Health Counselor
0701015032VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 12, 2025 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 12, 2025 Accepting new patients
Community Council of Nashua NH, Inc. PastSince Mar 27, 2011 Accepting new patients

Locations

7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002

Organizations & group practices 3

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1619458759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282552",
            "telephone_number": "804-591-0002",
            "fax_number": "833-449-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282552",
            "telephone_number": "804-591-0002",
            "fax_number": "833-449-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000046",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.