Rhonda L Laverne' Johnson, SOLE PROPRIETOR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

017 Issued in DC

Practice address

1626 Marion Barry Ave SE
Washington, DC 20020-4706

Phone

(202) 836-4841

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Care Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1194275172
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1952143489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 1ST ST SE APT 1009",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034723",
            "telephone_number": "202-491-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MARION BARRY AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204706",
            "telephone_number": "202-836-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 1st St SE Apt 1009",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034723",
            "country_code": "US",
            "telephone_number": "202-491-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RHONDA L",
        "middle_name": "LAVERNE'",
        "credential": "SOLE PROPRIETOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": "017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheed Johnson, HHA
• Rayniece Ann Johnson
• Rayshaun Johnson, LPC, NCC
• Regina A Johnson
• Reshell Margaret Johnson
• Richard Johnson
• Richard Glen Johnson Jr.
• Robert Johnson
• Robin Yvette Johnson
• Rodney Johnson

• Peer Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Peer Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.