Active NPI
Rebecca Johnson, LPC, NCC
- Professional Counselor
- Kennesaw, GA
National Provider Identifier
1710612189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015189
- Practice address
- 1301 Shiloh Rd NW Ste 1240
Kennesaw, GA 30144-7163 - Phone
- (240) 780-6628
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | GA | ||
| Professional Counselor | 101YP2500X | LPC015189 | GA | Primary |
Addresses
Primary practice location
1301 Shiloh Rd NW Ste 1240
Kennesaw, GA 30144-7163
Mailing address
1301 Shiloh Rd NW Ste 1240
Kennesaw, GA 30144-7163
Phone (240) 780-6628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC015189 | Other | GA | STATE OF GEORGIA |
| 1657570 | Other | NATIONAL CERTIFIED COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RJ@copingpath.com | Direct |
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 |
|---|---|---|---|
| LPC015189 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
Locations
100 Stoneforest Dr
Ste 230
Woodstock, GA 30189
Phone (470) 552-8470
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 and National Provider Directory roles.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1710612189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW STE 1240",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447163",
"telephone_number": "240-780-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW STE 1240",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447163",
"telephone_number": "240-780-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA",
"identifier": "LPC015189",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFIED COUNSELOR",
"identifier": "1657570",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RJ@copingpath.com",
"affiliation": "N",
"endpointDescription": "Coping Path LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1301 Shiloh Rd NW Ste 1240",
"city": "Kennesaw",
"state": "GA",
"country_code": "US",
"postal_code": "301447163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.