Angela Banks-Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3581 Issued in NC

Practice address

4751 Scenic Pine LN
Concord, NC 28025-8099

Phone

(818) 482-5612

NPI assigned

Nov 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• New Creation Mindset

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1770292823
  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1700595840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 SCENIC PINE LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280258099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 SCENIC PINE LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280258099",
            "telephone_number": "818-482-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-JOHNSON",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Ball, PA
• Alicia Brooke Ballard, RN
• Jackson Oldham Ballard, DPT
• Traci Lynn Ballard, PA
• Katrina Brown Bankins, CCC-SLP
• Dashun Tyrell Banks, NCLPCBE
• Iesha Mon'Et Banks
• Lakeisha Tenice Banks, LCSW
• Mercida Hampton Banks, LCAS-A
• Baptist Retirement Homes of North Carolina Incorporated

• Mental Health Counselor in Concord, NC
• Providers in Concord, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.