Individual provider Active NPI

Dena Johnson, NCC, LCMHA, LCASA

  • Mental Health Counselor
  • Winterville, NC
National Provider Identifier
1902484496
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16364 Issued in NC
Practice address
2296 Edgewater Dr
Winterville, NC 28590-9602
Phone
(704) 533-0654
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16364 NC Primary

Addresses

Primary practice location

2296 Edgewater Dr
Winterville, NC 28590-9602

Mailing address

2296 Edgewater Dr
Winterville, NC 28590-9602
Phone (704) 533-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003323 NC Practitioner - Mental Health Counselor 2567900202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 clinicians

Practice addresses (Care Compare)

2717 Neuse Blvd
New Bern, NC 28562-2840
Phone (252) 514-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16364NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace and Harmony Counseling Services, PLLC Mental Health Current Accepting new patients
Second Chance Behavioral Health Mental Health CurrentSince May 2, 2024 Accepting new patients

Locations

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

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.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1902484496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 EDGEWATER DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909602",
            "telephone_number": "704-533-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 EDGEWATER DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909602",
            "telephone_number": "704-533-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENA",
        "credential": "NCC, LCMHA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

Verify at the official NPI Registry.