Active NPI
Lauren Johnson
- Mental Health Counselor
- Brookhaven, GA
National Provider Identifier
1891249249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC009118
- Practice address
- 1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131 - Phone
- (404) 984-9750
- NPI assigned
- Aug 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC009118 | GA | Primary |
Addresses
Primary practice location
1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131
Mailing address
1936 N Druid Hills Rd NE Ste a
Brookhaven, GA 30319-4131
Phone (404) 984-9750
Other practice location 1
302 Stevens Entry
Peachtree City, GA 30269-1325
Phone (770) 486-4887
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009118 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Change Group | Past | Accepting new patients | |
| Woven Paths Counseling LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Counseling Psychologist
- Peachtree City, GA
- NPI 1790159598
-
- Community/Behavioral Health Agency
- Peachtree City, GA
- NPI 1023966272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1891249249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 N DRUID HILLS RD NE STE A",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303194131",
"telephone_number": "404-984-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 N DRUID HILLS RD NE STE A",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303194131",
"telephone_number": "404-984-9750"
}
],
"practiceLocations": [
{
"address_1": "302 Stevens Entry",
"address_purpose": "LOCATION",
"city": "Peachtree City",
"state": "GA",
"postal_code": "302691325",
"country_code": "US",
"telephone_number": "770-486-4887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-14",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC009118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.