Phekila D Johnson, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH10653 Issued in FL

Practice address

6408 N Armenia Ave Ste E-1
Tampa, FL 33604-5770

Phone

(813) 534-0955

Fax

(813) 443-6201

NPI assigned

Nov 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Ibis Healthcare Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1346224011
  Medicare reassignment NPD
• Brown Sugar Wellness, LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1053934000
  NPD Authorized official
• Ibis Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1922777218
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1881137941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE E-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-534-0955",
            "fax_number": "813-443-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE E-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-534-0955",
            "fax_number": "813-443-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 N 50th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33619",
            "country_code": "US",
            "telephone_number": "813-239-8567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2352 Bruce B Downs Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335449203",
            "country_code": "US",
            "telephone_number": "813-973-1304",
            "fax_number": "813-355-5024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHEKILA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Johnson, ARNP
• Nathan Ray Johnson, LMT
• Nehelia Cedella Johnson, ARNP
• Patrick Jonas Johnson, ARNP, FNP-C
• Patrick Todd Johnson, D.M.D., P.A.
• Philip Nathaniel Johnson, M.D.
• Rachel Nicole Johnson, MSW
• Ramey Rene Johnson
• Reginald Antwan Johnson
• Robin Lynn Johnson, LMT

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.