Alicia Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

7041 Issued in SC

Practice address

121 Leopard LN
Brevard, NC 28712-8609

Phone

(843) 801-3892

NPI assigned

Mar 6, 2021

Sex

Female

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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1790370245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LEOPARD LN",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128609",
            "telephone_number": "843-801-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LEOPARD LN",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128609",
            "telephone_number": "843-801-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Ann Jackson, LMBT
• Jessica Jordan Jacobs, DMD
• Christy Lynne Jacoby, LCSW
• Allison Jameson, DPT
• Kelly John
• Christian William Johnson, PA-C
• John H. Johnson, M.D.
• Ward D Johnson, MFT
• Sven T. Jonsson, M.D.
• Joseph L Cowart DMD PA

• Marriage & Family Therapist in Brevard, NC
• Providers in Brevard, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.