Shirley Renee Johnson, LPCC-S, LICDC-CS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1800985 Issued in OH

Practice address

196 Mill St
Gahanna, OH 43230-2647

Phone

(614) 769-8571

Fax

(614) 417-1451

NPI assigned

Jul 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Solutions & Possibilities LLC

  • Mental Health Counselor
  • Gahanna, OH
  • NPI 1487211603

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Solutions & Possibilities Personal Care LLC

  • Home Health Aide
  • Gahanna, OH
  • NPI 1467262949
  NPD Authorized official

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1770935009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MILL ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302647",
            "telephone_number": "614-769-8571",
            "fax_number": "614-417-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 MILL ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302647",
            "telephone_number": "614-769-8571",
            "fax_number": "614-417-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHIRLEY",
        "middle_name": "RENEE",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "041011",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800985",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gisele Johnson, PT
• Jessica Lyn Johnson
• Julie Johnson, LPCC-S
• Kirsten Marie Johnson, MD/PHD
• Krystylmone Johnson, RN
• Tiffany Lee Johnson, APRN-CNP
• Abigail Johnston, PHYSICAL THERAPIST
• Megan Ashley Jones-Sheets, D.O.
• Alenna Jones, PMHNP
• David K Jones, D.O.

• Professional Counselor in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.