Individual provider Active NPI

Rebecca Johnson, LPC, NCC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1710612189
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015189 Issued in GA
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

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC015189OtherGASTATE OF GEORGIA
1657570OtherNATIONAL CERTIFIED COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LPC015189GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Professional CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.