Individual provider Active NPI

Julia Anne Johnson, MA, LPC

  • Professional Counselor
  • Martinsville, VA
National Provider Identifier
1902273154
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006180 Issued in VA
Practice address
300 Franklin St
Suite 226
Martinsville, VA 24112-2162
Phone
(276) 638-0308
Fax
(276) 638-0310
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006180 VA Primary

Addresses

Primary practice location

300 Franklin St
Suite 226
Martinsville, VA 24112-2162

Mailing address

300 Franklin St
Suite 226
Martinsville, VA 24112-2162
Phone (276) 638-0308

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701006180VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Counseling & Consulting, LLC Past Accepting new patients

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1902273154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN ST",
            "address_2": "SUITE 226",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122162",
            "telephone_number": "276-638-0308",
            "fax_number": "276-638-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN ST",
            "address_2": "SUITE 226",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122162",
            "telephone_number": "276-638-0308",
            "fax_number": "276-638-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.