Individual provider Active NPI

Victoria Michelle Johnson, LPC, M.ED.

  • Professional Counselor
  • Canton, GA
National Provider Identifier
1720743305
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013771 Issued in GA
Practice address
3395 Sixes Rd Ste 2302
Canton, GA 30114-9125
Phone
(770) 224-7245
Fax
(470) 867-3270
NPI assigned
Nov 8, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X LPC013771 GA Primary

Addresses

Primary practice location

3395 Sixes Rd Ste 2302
Canton, GA 30114-9125

Mailing address

PO Box 2341
Woodstock, GA 30188-1378
Phone (678) 663-2575

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC013771GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
With a Child's Heart, LLC. CurrentSince Jun 3, 2025 Accepting new patients

Locations

3395 Sixes Rd
Ste 2302
Canton, GA 30114
Phone (404) 910-3377

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1720743305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2341",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881378",
            "telephone_number": "678-663-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 SIXES RD STE 2302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149125",
            "telephone_number": "770-224-7245",
            "fax_number": "470-867-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "MICHELLE",
        "credential": "LPC, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.