Individual provider Active NPI

Hayley Marie Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Haymarket, VA
National Provider Identifier
1821947250
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024196185 Issued in VA
Practice address
15100 Washington St Ste 103
Haymarket, VA 20169-4919
Phone
(703) 249-9835
Fax
(571) 486-4527
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024196185 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC009013 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 117253-23 NH

Addresses

Primary practice location

15100 Washington St Ste 103
Haymarket, VA 20169-4919

Mailing address

15100 Washington St Ste 103
Haymarket, VA 20169-4919
Phone (703) 249-9835

Other practice location 1

7700 Old Georgetown Rd Ste 675
Bethesda, MD 20814-6100
Phone (703) 249-9835

Other practice location 2

2 Delta Dr Ste 303
Concord, NH 03301-7427
Phone (703) 249-9835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220003373 VA Practitioner - Nurse Practitioner 0840771598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15100 Washington St
Suite 103
Haymarket, VA 20169-4919
Phone (703) 249-9835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC009013MDMDPsychiatric/Mental Health Nurse Practitioner
117253-23NHMDPsychiatric/Mental Health Nurse Practitioner
0024196185VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rituality Wellness, PLLC Psychiatric/Mental Health CurrentSince Feb 3, 2026 Accepting new patients

Locations

800 S Frederick Ave
Ste 200
Gaithersburg, MD 20877
Phone (571) 463-8620

2 Delta Dr
Ste 303
Concord, NH 03301
Phone (603) 852-0639

15100 Washington St
Ste 103
Haymarket, VA 20169
Phone (703) 249-9835

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1821947250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST STE 103",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694919",
            "telephone_number": "703-249-9835",
            "fax_number": "571-486-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST STE 103",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694919",
            "telephone_number": "703-249-9835",
            "fax_number": "571-486-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Old Georgetown Rd Ste 675",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146100",
            "country_code": "US",
            "telephone_number": "703-249-9835",
            "fax_number": "571-486-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Delta Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017427",
            "country_code": "US",
            "telephone_number": "703-249-9835",
            "fax_number": "571-486-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HAYLEY",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024196185",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC009013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "117253-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.