Ellen M. Johnston, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13322 Issued in NC

Practice address

806 Hay St
Fayetteville, NC 28305-5312

Phone

(910) 860-7008

Fax

(910) 221-9006

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Ellen M. Zamansky Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Divine Wellness Therapeutic Center PLLC

  • Community/Behavioral Health Agency
  • Hope Mills, NC
  • NPI 1578291308

  NC

  Medicare reassignment NPD
• Haymount Institute for Psychological Services, PLLC

  • Clinical Psychologist
  • Fayetteville, NC
  • NPI 1437320892

  Mental Health, NC

  Medicare reassignment NPD
• Haymount Institute for Psychological Services, PLLC

  • Clinical Psychologist
  • Concord, NC
  • NPI 1316825656

  Mental Health

  NPD
• Az Center for Change

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609105642
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1639436686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055312",
            "telephone_number": "910-860-7008",
            "fax_number": "910-221-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055312",
            "telephone_number": "910-860-7008",
            "fax_number": "910-221-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 N. 7th Avenue",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85013",
            "country_code": "US",
            "telephone_number": "602-253-8488",
            "fax_number": "602-253-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 1174",
            "primary": false
        },
        {
            "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"
        }
    ]
}

• Tamika Johnson
• Teara Johnson
• Terika Johnson
• Tomeka Evette Johnson, LCSWA, LCSAA
• Tunja Johnson, RN
• Emily Jolly, PHARMD
• Caroline Joncas, PHARMD
• Jones Center for Womens Health PLLC
• Alaine D Jones, PA
• Alexandra Jones, NP

• All providers in Fayetteville, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.

Verify at the official NPI Registry.