Kamia Alexis Johnson, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18310 Issued in NC

Practice address

9541 Julian Clark Ave Ste 110
Huntersville, NC 28078-3485

Phone

(980) 358-1366

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Safe Space for Growth Counseling and Services

  • Mental Health Counselor
  • Concord, NC
  • NPI 1356210694
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1770292302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 POUNDS AVE SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254789",
            "telephone_number": "704-577-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JULIAN CLARK AVE STE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783485",
            "telephone_number": "980-358-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAMIA",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Lorraine Johnson-Reed, LCMHC
• Alison Joan Johnson, MD
• Corday Denise Johnson
• Debra A Johnson, CRNA
• Jessica S Johnson, LPC
• Maryann Sandy Johnson, M.D.
• Walanda Lashea Johnson, MS
• Zachary Johnson, PT, DPT
• Tyler Cherie Johnston, PA-C
• Jonathan N Colter (Huntersville Family Chiropractic)

• Mental Health Counselor in Huntersville, NC
• Providers in Huntersville, 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 Nov 22, 2022; 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.