Active NPI
Robert A Johnson III, MA
- Counselor
- Charlotte, NC
National Provider Identifier
1912153107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8595
- Practice address
- 223 W Morehead St
Charlotte, NC 28202-1521 - Phone
- (803) 556-2811
- NPI assigned
- Aug 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8595 | NC | Primary |
| Professional Counselor | 101YP2500X | 8595 | NC | |
| Mental Health Counselor | 101YM0800X | 8595 | NC |
Addresses
Primary practice location
223 W Morehead St
Charlotte, NC 28202-1521
Mailing address
223 W Morehead St
Charlotte, NC 28202-1521
Phone (803) 556-2811
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8595 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1912153107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W MOREHEAD ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021521",
"telephone_number": "803-556-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W MOREHEAD ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021521",
"telephone_number": "803-556-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON III",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "8595",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8595",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.