Amanda Lynn Johnson, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000525 Issued in GA

Practice address

3565 Piedmont Road NE
Building Two, Suite 510
Atlanta, GA 30305-3030

Phone

(404) 618-0601

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Lynn Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2024 through Feb 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1639763733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 PIEDMONT ROAD NE",
            "address_2": "BUILDING TWO, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-618-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 PIEDMONT ROAD NE",
            "address_2": "BUILDING TWO, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053030",
            "telephone_number": "404-618-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PETERSON",
            "middle_name": "LYNN",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan R Johnson, MD
• Alana Marie Johnson
• Alcuin Q Johnson, PHD
• Alice Olga Johnson, MD
• Alma Bangs Johnson, R.PH.
• Amber Johnson
• Amber Thompson Johnson, MS, RD, LD
• Amira J Johnson
• Amiyah Renee Johnson
• Andrea Johnson, AGPCNP

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.