Michele Elizabeth Johnson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 5460 Issued in FL

Practice address

5422 First Coast Hwy
Ste 119
Amelia Island, FL 32034-5423

Phone

(904) 432-7617

Fax

(904) 432-7088

NPI assigned

Jun 4, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 1, 2024 through Sep 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Counseling & Psychological Services LLC

  • Counselor
  • Amelia Island, FL
  • NPI 1306192513

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1649406604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY",
            "address_2": "STE 119",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345423",
            "telephone_number": "904-432-7617",
            "fax_number": "904-432-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY",
            "address_2": "STE 119",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345423",
            "telephone_number": "904-432-7617",
            "fax_number": "904-432-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Eldercare Rehabilitation Services LLC
• Genesis Eldercare Rehabilitation Services LLC
• Jayde Marie Gray, DC
• Gregory N. Smith MD PA
• Ken Ferrell Johnson Jr., PSYD
• Emily Jones, ATC, LAT
• Live Long Well Care, LLC
• Daniel Mills Jr., OTR/L
• Monarch Academy for Neurodivergent Youth and Young Adults L.L.C.
• Maria A Murphy, MA, LMHC, LCPC

• Mental Health Counselor in Amelia Island, FL
• Providers in Amelia Island, 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 Jan 8, 2015; 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.