Individual provider Active NPI

Anneke Johnson, MA, LPC, LMHC,LCHMCS

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1841544947
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9338 Issued in NC
Practice address
2845 Beatties Ford Rd.
Charlotte, NC 28216
Phone
(571) 206-1121
Fax
(910) 541-9488
NPI assigned
Oct 29, 2012
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A9338 NC Primary

Addresses

Primary practice location

2845 Beatties Ford Rd.
Charlotte, NC 28216

Mailing address

1144 Western Blvd # 1008
Jacksonville, NC 28546-6651
Phone (571) 206-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240118001204 NC Practitioner - Mental Health Counselor 9739531419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A9338NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Better Self, PLLC Professional CurrentSince Jan 4, 2024 Accepting new patients

Locations

1144 Western Blvd
Jacksonville, NC 28546
Phone (571) 206-1121

3301 Richmond Hwy
Alexandria, VA 22305
Phone (571) 275-5935

Interoperability endpoints

  • Direct secure messaging: annekejohnson@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1841544947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WESTERN BLVD # 1008",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466651",
            "telephone_number": "571-206-1121",
            "fax_number": "910-541-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 BEATTIES FORD RD.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28216",
            "telephone_number": "571-206-1121",
            "fax_number": "910-541-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANNEKE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LMHC,LCHMCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.