Glenda Johnson, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11021 Issued in NC

Practice address

200 Office Park Dr
Mountain BRK, AL 35223-2418

Phone

(659) 212-6916

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1649048067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PARK VILLAGE LN",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077763",
            "telephone_number": "832-633-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OFFICE PARK DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232418",
            "telephone_number": "659-212-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLENDA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05232",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11021",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Jaffe, LCSW
• Bradley James Jenkins
• Michelle D Jennings, ALC
• Amanda Kristine Johnson, PHARMD
• Ellie Johnson
• Donna Johnston, LPTA
• Lance Jacob Jordan, ATC
• Brooke Schaeffer Kaplan, OD
• Katie Locklin Counseling & Consulting LLC
• Lisa Edwards Keane, LPC, RPT, NBCC

• Mental Health Counselor in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.