Active NPI
Kristen Nicole Johnson, LMHC
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1861956609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 563
- Practice address
- 460 Eden Roc Circle
Apt #305
Virginia Beach, VA 23451 - Phone
- (843) 321-8211
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 563 | HI | Primary |
Addresses
Primary practice location
460 Eden Roc Circle
Apt #305
Virginia Beach, VA 23451
Mailing address
460 Eden Roc Cir Apt 305
Virginia Beach, VA 23451-5494
Phone (843) 422-1475
Other practice location 1
1888 Kalakaua Ave.
Suite C312
Honolulu, HI 96815
Phone (808) 494-6066
Other practice location 2
95-108 Kauamea Pl Apt 9
Mililani, HI 96789-1011
Phone (843) 422-1475
Other names 1
- Kristen Nicole Sutton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1861956609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 EDEN ROC CIR APT 305",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234515494",
"telephone_number": "843-422-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 EDEN ROC CIRCLE",
"address_2": "APT #305",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23451",
"telephone_number": "843-321-8211"
}
],
"practiceLocations": [
{
"address_1": "1888 Kalakaua Ave.",
"address_2": "Suite C312",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96815",
"country_code": "US",
"telephone_number": "808-494-6066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95-108 Kauamea Pl Apt 9",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967891011",
"country_code": "US",
"telephone_number": "843-422-1475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2022-10-03",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "SUTTON",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.