Jefkida Lasha Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

320 1St St N Ste 612
Jacksonville Beach, FL 32250-6947

Phone

(334) 647-1009

Fax

(888) 856-7677

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• A New Direction Breaking the Cycle of Poverty

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1306104872

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

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    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1639690381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 POTSDAM CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178028",
            "telephone_number": "334-320-0084",
            "fax_number": "888-856-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N STE 612",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506947",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 Potsdam Ct",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361178028",
            "country_code": "US",
            "telephone_number": "334-320-0084",
            "fax_number": "888-856-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFKIDA",
        "middle_name": "LASHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300011840",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840832",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241522",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Richard Crossfield, LMHC, Mac, PA
• John Woeste Jr MD & Assoc PA
• Taylor Alise Johnson-Price, MA., CCC-SLP
• Amber Lynn Johnson, M.D.
• David M Johnson, MD
• Jennifer Michelle Johnson, PTA
• Kim M Johnston, DC
• Meghan Jonathan, APRN
• Daniel Jones III
• Denise V. Jones, LMHC

• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.