Carly Ann Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001996 Issued in VA

Practice address

121 Amberleigh Dr Apt 101
Wilmington, NC 28411-9845

Phone

(970) 821-5700

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Ann Moody Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1700587227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AMBERLEIGH DR APT 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119845",
            "telephone_number": "970-821-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AMBERLEIGH DR APT 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119845",
            "telephone_number": "970-821-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARLY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MOODY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antonia Nichelle Johnson, MSW, LCSWA
• Austin L Johnson
• Bernadette Lea Johnson, LCSW
• Brianna Leigh Johnson, LCSW
• Burt Powers Johnson, M.D.
• Catrinna Lashay Johnson
• Chelsa Anne Johnson, MSW, LCSW
• Chelsea Rae Johnson, LCSWA
• Christopher C Johnson, DPT
• Craig C Johnson, PA

• Marriage & Family Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.