Individual provider Active NPI

Rebecca Joy Johnson-Das, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Hickory, NC
National Provider Identifier
1891253266
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-25263 Issued in NC
Practice address
5577 Brookwood LN
Hickory, NC 28602-5507
Phone
(206) 330-3945
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25263 NC Primary

Addresses

Primary practice location

5577 Brookwood LN
Hickory, NC 28602-5507

Mailing address

5577 Brookwood LN
Hickory, NC 28602-5507
Phone (206) 330-3945

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

LicenseStateTypeSpecialty
LCAS-25263NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rys Rock Your Soul Addiction (Substance Use Disorder) CurrentSince Jun 9, 2024 Accepting new patients

Locations

929 15th St NE
Ste 300
Hickory, NC 28601
Phone (206) 330-3945

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1891253266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 BROOKWOOD LN",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025507",
            "telephone_number": "206-330-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 BROOKWOOD LN",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025507",
            "telephone_number": "206-330-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-DAS",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "credential": "LCAS, CSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.