Individual provider Active NPI

Judy Ann Johnson, LPC-MHSP, LCAS, CCS

  • Mental Health Counselor
  • Morrison, TN
National Provider Identifier
1669537585
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2439 Issued in TN
Practice address
5736 Manchester Hwy
Morrison, TN 37357-7503
Phone
(931) 815-3872
NPI assigned
Dec 22, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 710 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 257 NC
Mental Health Counselor 101YM0800X 3583 NC
Mental Health Counselor 101YM0800X 2439 TN Primary

Addresses

Primary practice location

5736 Manchester Hwy
Morrison, TN 37357-7503

Mailing address

419 Eckles Cemetery Rd
Livingston, TN 38570-5103
Phone (931) 498-5925

Other identifiers 1

IdentifierTypeStateIssuer
1510696MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003025 TN Practitioner - Mental Health Counselor 5698126829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5736 Manchester Hwy
Morrison, TN 37357-7503
Phone (931) 815-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
710NCMDAddiction (Substance Use Disorder) Counselor
2439TNMDInternal Medicine Physician
3583NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Health Association, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

4589 Rhea County Hwy
Dayton, TN 37321
Phone (423) 428-9500

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1669537585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ECKLES CEMETERY RD",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385705103",
            "telephone_number": "931-498-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 MANCHESTER HWY",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373577503",
            "telephone_number": "931-815-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "710",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3583",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510696",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, TN

Sources for this page

Verify at the official NPI Registry.