Ronald Robert Johnson, LCAS (REGISTERED)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13636 Issued in NC

Practice address

3826 Bland Rd
Raleigh, NC 27609

Phone

(919) 872-1441

Fax

(919) 872-1455

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Sigma Health Services LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1962643270
  Medicare reassignment NPD
• Cottage Health Care Services, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1386771657
  NPD (past)
• Cottage Health Care Services, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1487975074

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1730619859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LONG MEADOW CT APT 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133216",
            "telephone_number": "919-436-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-872-1441",
            "fax_number": "919-872-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3824 Barrett Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097220",
            "country_code": "US",
            "telephone_number": "919-790-2446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONALD",
        "middle_name": "ROBERT",
        "credential": "LCAS (REGISTERED)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23707",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Johnson, PHARM.D
• Rachel Johnson, MS
• Rebecca Johnson, LCSW
• Rebecca Anne Johnson, FNP-BC
• Robin Thompson Johnson, PA
• Ruth Johnson
• Ryan Christopher Johnson, M.D.
• Ryan Zachary Johnson, PA-C
• Sally Johnson
• Samaria Faith Johnson

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Jun 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.