Aeisha Nicole Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2020011986 Issued in MO

Practice address

1385 Harkee Dr
Florissant, MO 63031-3434

Phone

(314) 831-1391

NPI assigned

Sep 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Aluna Therapy

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1235078130
  NPD Authorized official
• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  NPD
• Catholic Family Services Inc.

  dba Family Wellness Program

  • Mental Health Counselor
  • Union, MO
  • NPI 1154480176
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1659095149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N ELIZABETH AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351240",
            "telephone_number": "314-915-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HARKEE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313434",
            "telephone_number": "314-831-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AEISHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020011986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajohnson@ccstl.org",
            "affiliation": "N",
            "address_1": "1385 Harkee Dr",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630313434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geoffrey Xavier Jiles
• JJ Optical LLC
• John C. Boain, DDS Dental Care, LLC (Boain Dental Care)
• Aaliyah Ashlie Johnson Hines
• Jean Elizabeth Johnson-Strachan, MD
• Cameron Johnson
• Candice Nichole Johnson, PHARM. D
• Ciara Nicole Johnson
• Dasia Johnson
• Derrick L Johnson

• Mental Health Counselor in Florissant, MO
• Providers in Florissant, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.