Individual provider Active NPI

Sasha B Johnson, LPC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1689139230
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008058 Issued in VA
Practice address
6601 Irongate SQ Ste D
North Chesterfield, VA 23234-6077
Phone
(804) 901-1842
Fax
(804) 621-4231
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008058 VA Primary

Addresses

Primary practice location

6601 Irongate SQ Ste D
North Chesterfield, VA 23234-6077

Mailing address

PO Box 7888
Henrico, VA 23231-0388
Phone (804) 901-1842

Other names 1

  • Ms. Sasha B Davenport Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250310001501 DC Practitioner - Mental Health Counselor 9830610617 Reassigns benefits to 1 organization
I20250411000804 NC Practitioner - Mental Health Counselor 9830610617 Reassigns benefits to 1 organization
I20260623001667 VA Practitioner - Mental Health Counselor 9830610617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6601 Irongate SQ
Suite CD
North Chesterfield, VA 23234-6077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20342NCMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uplifting Lives and Services LLC CurrentSince Apr 20, 2026 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Feb 7, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

6601 Irongate Sq
Ste Cd
North Chesterfield, VA 23234

6601 Irongate Sq
Ste D
North Chesterfield, VA 23234
Phone (804) 901-1842

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1689139230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7888",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232310388",
            "telephone_number": "804-901-1842",
            "fax_number": "804-621-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 IRONGATE SQ STE D",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346077",
            "telephone_number": "804-901-1842",
            "fax_number": "804-621-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SASHA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "DAVENPORT",
            "middle_name": "B",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.