Atavious A Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

223 E Main St
Suite 300
Rock Hill, SC 29730-4571

Phone

(803) 328-9600

NPI assigned

May 6, 2011

Last updated

May 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Family Services

  • Community/Behavioral Health Agency
  • Clover, SC
  • NPI 1528583879

  Mental Health

  Medicare reassignment NPD
• Catawba Mental Health Center

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1831375021
  NPD (past)
• Real Connections Counseling and Wellness LLC

  dba Real Connections

  • Mental Health Counselor
  • Clover, SC
  • NPI 1447175005
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1922390186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIEDMONT BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321835",
            "telephone_number": "803-328-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "address_2": "SUITE 300",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304571",
            "telephone_number": "803-328-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ATAVIOUS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Hawes Physician LLC
• John W Floren DMD PA
• Jamie John
• Johnson Way Transport LLC
• Alicia Johnson
• Brandon Johnson
• Britanica N. Johnson, M.ED., LPC, LCMHC-A,
• Charita Monica Johnson, APRN
• Doretta Johnson, CNA
• Emily Louise Johnson, MSW

• Mental Health Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.