Individual provider Active NPI

Stephanie Johnson, PLPC, MHP

  • Professional Counselor
  • Slidell, LA
National Provider Identifier
1720619067
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7858 Issued in LA
Practice address
1258 Brownswitch Rd Ste C
Slidell, LA 70461-1606
Phone
(985) 661-0560
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7858 LA Primary

Addresses

Primary practice location

1258 Brownswitch Rd Ste C
Slidell, LA 70461-1606

Mailing address

1258 Brownswitch Rd Ste C
Slidell, LA 70461-1606
Phone (985) 661-0560

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL vikkied@insightguidancegroup.com

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
7858LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Family Counseling, LLC CurrentSince Dec 29, 2024 Accepting new patients
Insight Guidance Group Professional CurrentSince Feb 1, 2020 Accepting new patients

Locations

113 W Convent St
Lafayette, LA 70501
Phone (337) 534-0770

1258 Brownswitch Rd
Ste C
Slidell, LA 70461
Phone (985) 661-0560

Organizations & group practices 2

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1720619067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 BROWNSWITCH RD STE C",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611606",
            "telephone_number": "985-661-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 BROWNSWITCH RD STE C",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611606",
            "telephone_number": "985-661-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "credential": "PLPC, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vikkied@insightguidancegroup.com",
            "affiliation": "N",
            "address_1": "113 W Convent St",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705016903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.