Active NPI
Ellen Marie Johnston, MA
- Mental Health Counselor
- Raeford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13322
- Practice address
- 632 W Prospect Ave
Raeford, NC 28376-2512 - Phone
- (910) 875-5590
- Fax
- (910) 875-5008
- NPI assigned
- Apr 16, 2012
- Last updated
- Oct 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13322 | NC | Primary |
Addresses
Primary practice location
632 W Prospect Ave
Raeford, NC 28376-2512
Mailing address
110 Deer Lodge CT
Raeford, NC 28376-5473
Phone (910) 875-5590
Other names 1
- Ms. Ellen M. Zamansky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 1174 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haymount Institute for Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
| Haymount Institute for Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
| Divine Wellness Therapeutic Center PLLC | Current | Accepting new patients | |
| Az Center for Change | Past | Accepting new patients |
Locations
806 Hay St
Fayetteville, NC 28305
Phone 9108607008117
3077 N Main St
Ste 201
Hope Mills, NC 28348
Phone (910) 275-5766
3507 Hill St
Hope Mills, NC 28348
Phone (910) 339-0901
131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Hope Mills, NC
- NPI 1578291308
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1437320892
Mental Health
-
- Clinical Psychologist
- Concord, NC
- NPI 1316825656
Mental Health
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1609105642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1639436686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DEER LODGE CT",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765473",
"telephone_number": "910-875-5590",
"fax_number": "910-875-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W PROSPECT AVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762512",
"telephone_number": "910-875-5590",
"fax_number": "910-875-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "ELLEN",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "ZAMANSKY",
"middle_name": "M.",
"prefix": "MS.",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.