Individual provider Active NPI

India Johnson

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1720664634
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014620 Issued in NC
Practice address
105 Pinegate Cir Apt 10
Chapel Hill, NC 27514-2252
Phone
(336) 471-9189
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014620 NC Primary

Addresses

Primary practice location

105 Pinegate Cir Apt 10
Chapel Hill, NC 27514-2252

Mailing address

105 Pinegate Cir Apt 10
Chapel Hill, NC 27514-2252
Phone (336) 471-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014620NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Purpose Counseling and Consulting, PLLC Clinical Current Accepting new patients
Prosper Healthcare and Consulting PLLC Clinical PastSince May 19, 2024 Accepting new patients

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1720664634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINEGATE CIR APT 10",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142252",
            "telephone_number": "336-471-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINEGATE CIR APT 10",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142252",
            "telephone_number": "336-471-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "INDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.