Quincy Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10853 Issued in NC

Practice address

2003 E NC Highway 54 Ste C
Durham, NC 27713-2483

Phone

(919) 682-5300

NPI assigned

Feb 21, 2015

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True North Counseling and Assessments PLLC

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1821732256
  NPD Authorized official
• Upward Change Health Services

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1912449158
  NPD (past)
• Upward Change Health Services, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1306083688
  NPD (past)

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1861884363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 SUMTER PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140667",
            "telephone_number": "803-467-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54 STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132483",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUINCY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10853",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Johnson, PA-C
• Nicole Lloyd Johnson, PA-C
• Pamela Fleming Johnson, CCC-SLP
• Paul Dwight Johnson, LCSW
• Paul Richard Johnson, LCSW
• Renita Miriam Johnson, PA
• Sally R Johnson, MD
• Samuel Henry Johnson Jr., PHARMD, MPH
• Sandra J Johnson, FNP-C
• Sarah Elizabeth Johnson

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.