Destiny Elizabeth Johnson

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

502 Wyndham Ridge Dr
Columbus, OH 43207-8749

Phone

(614) 484-2975

NPI assigned

May 27, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Destiny Elizabeth Knowles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1841083417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 COURTRIGHT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325661",
            "telephone_number": "380-245-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WYNDHAM RIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432078749",
            "telephone_number": "614-484-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Courtright Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432325661",
            "country_code": "US",
            "telephone_number": "380-245-7709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052081",
            "country_code": "US",
            "telephone_number": "380-245-7709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESTINY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "KNOWLES",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daylen Johnson
• Dennis L Johnson, D.D.S.,M.S.
• Denzel L. Johnson
• Deonte Jovan Johnson
• Destiny Johnson
• Dianna Lynn Johnson, FNP-BC
• Dominque Johnson
• Ebonee Marchelle Johnson
• Elijah Johnson, MSW, LSW
• Elizabeth K. Johnson, D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.