Johnny S Powell, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904007483 Issued in VA

Practice address

10372 Democracy LN
Fairfax, VA 22030-2522

Phone

(703) 591-2551

Fax

(703) 591-2563

NPI assigned

Mar 23, 2012

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

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

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 and National Provider Directory roles.

• Practical Therapeutic Solutions, PLLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
  • NPI 1629328083
  NPD (past) Authorized official
• Synergy Counseling, LLC

  • Marriage & Family Therapist
  • Fairfax, VA
  • NPI 1336613439
  NPD (past)

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1790051779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551",
            "fax_number": "703-591-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551",
            "fax_number": "703-591-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOHNNY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904007483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Potts
• Krishna Poudel
• Christine Corine Pournaras, NURSE PRACTITIONER
• Stephen W Pournaras Jr., M D
• Hamid Reza Pourshojae, D.O.
• Melinda Powell, LPC
• Robin Powell
• Teresa Powell, LPTA
• Hayley Powers
• James E Powers, O.D.

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.