Miles Carlisle Johnson, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8025 Issued in SC

Practice address

418A Barr Rd
Lexington, SC 29072-2363

Phone

(864) 280-7208

Fax

(803) 621-9061

NPI assigned

Dec 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1750977435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SANDPINE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297629",
            "telephone_number": "803-463-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418A BARR RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722363",
            "telephone_number": "864-280-7208",
            "fax_number": "803-621-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Stoneridge Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292108270",
            "country_code": "US",
            "telephone_number": "803-451-7600",
            "fax_number": "803-451-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MILES",
        "middle_name": "CARLISLE",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Johnson
• Christine Johnson, LP:C
• Diondra Johnson, ARNP
• Janelle N. Johnson, LPC
• Julia Coleman Johnson, OTR/L
• Natisha Tamel Johnson, LPN
• Paige Wilbanks Johnson
• Rhonda Johnson
• Tami N Johnson, PTA
• Tina Johnson, M.ED.

• Professional Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.