Individual provider Active NPI

Deanna Lynn Brown-Johnson, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Sunset Beach, NC
National Provider Identifier
1730585282
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20495 Issued in NC
Practice address
790 Sunset Blvd N Ste 3
Sunset Beach, NC 28468-4339
Phone
(910) 575-4200
Fax
(910) 575-4201
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A11182 NC
Mental Health Counselor 101YM0800X A11182 NC
Marriage & Family Therapist 106H00000X A11182 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 20495 NC Primary

Addresses

Primary practice location

790 Sunset Blvd N Ste 3
Sunset Beach, NC 28468-4339

Mailing address

790 Sunset Blvd N Ste 3
Sunset Beach, NC 28468-4339
Phone (910) 575-4200

Other practice location 1

710 Sunset Blvd N
Sunset Beach, NC 28468-4345
Phone (910) 538-7814

Other names 1

  • Ms. Deanna Lynn Brown-Johnson Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240914000342 NC Practitioner - Mental Health Counselor 8527508704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Ties of Brunswick, LLCGroup PAC ID 7911309430, 8 clinicians

Practice addresses (Care Compare)

720 N 3Rd St
Suite 401
Wilmington, NC 28401-3474
Phone (910) 769-9126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11182NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Family Counseling and Resource Center, PLLC Addiction (Substance Use Disorder) Current Accepting new patients
Lifesource of North Carolina CurrentSince Jul 23, 2024 Accepting new patients
Family Ties of Brunswick, LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Lifesource of North Carolina CurrentSince Jul 23, 2024 Accepting new patients

Locations

720 N 3rd St
Ste 401
Wilmington, NC 28401
Phone (910) 769-9126

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Organizations & group practices 4

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1730585282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 SUNSET BLVD N STE 3",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684339",
            "telephone_number": "910-575-4200",
            "fax_number": "910-575-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SUNSET BLVD N STE 3",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684339",
            "telephone_number": "910-575-4200",
            "fax_number": "910-575-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Sunset Blvd N",
            "address_purpose": "LOCATION",
            "city": "Sunset Beach",
            "state": "NC",
            "postal_code": "284684345",
            "country_code": "US",
            "telephone_number": "910-538-7814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-JOHNSON",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "A11182",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11182",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "A11182",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BROWN-JOHNSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunset Beach, NC

Sources for this page

Verify at the official NPI Registry.