Amy Lynn-Smith Johnson, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C005604 Issued in NC

Practice address

581 Executive PL
Suite 500
Fayetteville, NC 28305-5702

Phone

(910) 493-3555

Fax

(910) 493-3520

NPI assigned

Oct 5, 2006

Last updated

May 14, 2016By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of North Carolina at Chapel Hill School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A New Leaf Therapeutic Services, PLLCGroup PAC ID 0345567137, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A New Leaf Therapeutic Services, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1710391867

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1720174022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 GRAYS CREEK CHURCH RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487810",
            "telephone_number": "910-850-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 EXECUTIVE PL",
            "address_2": "SUITE 500",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055702",
            "telephone_number": "910-493-3555",
            "fax_number": "910-493-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "LYNN-SMITH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C005604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alia Jesinia Johnson
• Alisha Kelona Johnson, M.D.
• Allaniyah Johnson
• Amauri Johnson
• Amy Dale Mercado Johnson, M.ED., LPC, NCC
• Andrea Johnson
• Anesha A Johnson
• Ava Annette Johnson, RD
• Brandi Lachell Johnson
• Breana Johnson, MSW, LCSW

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, 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 May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.