Active NPI
Bianca Johnson
- Professional Counselor
- Loganville, GA
National Provider Identifier
1760062483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014784
- Practice address
- 142 Blue Creek LN
Loganville, GA 30052-8225 - Phone
- (678) 732-4685
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC007225 | GA | |
| Professional Counselor | 101YP2500X | LPC014784 | GA | Primary |
Addresses
Primary practice location
142 Blue Creek LN
Loganville, GA 30052-8225
Mailing address
PO Box 390934
Snellville, GA 30039-0016
Phone (678) 732-4685
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC007225 | GA | MD | Mental Health Counselor |
| LPC014784 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1760062483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390934",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300390016",
"telephone_number": "678-732-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 BLUE CREEK LN",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528225",
"telephone_number": "678-732-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BIANCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC007225",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.