Individual provider Active NPI

Annalee Vilen Johnson-Kwochka, PHD PSYCHOLOGIST

  • Psychologist
  • Asheville, NC
National Provider Identifier
1891483251
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6670 Issued in NC
Practice address
111 McDowell St
Asheville, NC 28801-4409
Phone
(828) 412-3144
Fax
(828) 782-3002
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6670 NC Primary

Addresses

Primary practice location

111 McDowell St
Asheville, NC 28801-4409

Mailing address

190 Brevard Rd
Asheville, NC 28806-2951
Phone (828) 412-3144

Other practice location 1

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6670NCMDPsychologist
103580NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological Assessment Center (Cpac) CurrentSince Jul 7, 2024 Accepting new patients

Locations

111 McDowell St
Asheville, NC 28801
Phone (828) 285-0969

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1891483251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BREVARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062951",
            "telephone_number": "828-412-3144",
            "fax_number": "828-333-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014409",
            "telephone_number": "828-412-3144",
            "fax_number": "828-782-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-KWOCHKA",
        "first_name": "ANNALEE",
        "middle_name": "VILEN",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

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