Active NPI
Leah I Johnson
- Professional Counselor
- Charlotte Court House, VA
National Provider Identifier
1699309864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13066
- Practice address
- 1476 Patrick Henry Ave
Charlotte Court House, VA 23923-3733 - Phone
- (443) 820-6837
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC13066 | MD | Primary |
| Mental Health Counselor | 101YM0800X | A15668 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | LGP9979 | MD |
Addresses
Primary practice location
1476 Patrick Henry Ave
Charlotte Court House, VA 23923-3733
Mailing address
1476 Patrick Henry Ave
Charlotte Court House, VA 23923-3733
Phone (443) 820-6837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15668 | NC | MD | Mental Health Counselor |
| LC13066 | MD | MD | Professional Counselor |
| LGP9979 | MD | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1699309864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 PATRICK HENRY AVE",
"city": "CHARLOTTE COURT HOUSE",
"state": "VA",
"postal_code": "239233733",
"telephone_number": "443-820-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 PATRICK HENRY AVE",
"city": "CHARLOTTE COURT HOUSE",
"state": "VA",
"postal_code": "239233733",
"telephone_number": "443-820-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LEAH",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13066",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15668",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "LGP9979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.